Ekadi, Kofoworola
Ekadi, Kofoworola is an individual health care provider with primary practice located at 12001 South Fwy Ste 210, Burleson TX 76028-7208. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ekadi, Kofoworola can be contacted via phone (817) 293-8797.Contact Information
Primary practice address
12001 South Fwy Ste 210
Burleson TX 76028-7208
Phone: (817) 293-8797
Fax: (817) 293-8793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9263 | Texas |
Profile Details
| NPI number | 1942262316 |
|---|---|
| LBN Legal business name | Ekadi, Kofoworola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Dec 30th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942262316 | NPPES |
| Texas | MEDICAID | 060392367 | |
| Texas | Other | P00053593 |
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