Provider Demographics
NPI:1992170955
Name:ONYANGO, DALMAS
Entity type:Individual
Prefix:
First Name:DALMAS
Middle Name:
Last Name:ONYANGO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 TIMBERGLEN RD APT 805
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-3719
Mailing Address - Country:US
Mailing Address - Phone:469-464-8654
Mailing Address - Fax:
Practice Address - Street 1:3773 TIMBERGLEN RD APT 805
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-3719
Practice Address - Country:US
Practice Address - Phone:469-464-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide