Eguae, Eseosa

Eguae, Eseosa is an individual health care provider with primary practice located at 811 W Interstate 20 Unit G22 , Arlington TX 76017. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Eguae, Eseosa can be contacted via phone (817) 807-9060.

Contact Information

Primary practice address
811 W Interstate 20 Unit G22 Arlington TX 76017
Phone: (817) 807-9060
Fax: (817) 419-4505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P8241 Texas

Profile Details

NPI number 1427310200
LBN Legal business name Eguae, Eseosa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Apr 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427310200 NPPES
Texas MEDICAID 349309001

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