Elizabeth Kerubo Otucho
Nurse Practitioner (Psychiatric/Mental Health)

Address: 9330 Lbj Fwy Ste 948, Dallas, TX 75243-3436
Phone: 9729724850

Elizabeth Kerubo Otucho (NPI# 1497357206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1497357206
Entity Type Individual
Full Name Elizabeth Kerubo Otucho
Gender Female
Practice Address 9330 Lbj Fwy Ste 948
Dallas
TX 75243-3436
Practice Telephone 9729724850
Mailing Address 9330 Lbj Fwy
Dallas
TX 75243-3436
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-16
Last Update Date 2020-12-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 1019612 TX

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

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1811406150 Justin Neal Mehan Nurse Practitioner 712 N Washington Ave Ste 411, Dallas, TX 75246-1626 2017-09-28
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Office Location

Street Address 9330 LBJ FWY STE 948
City DALLAS
State TX
Zip Code 75243-3436

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558970830 Nnamdi Okorie Licensed Vocational Nurse Danefergu@yahoo.com, 13427 Hedgeapple Dr, Dallas, TX 75243 2020-07-23
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1033609292 Mother Earth Healthcare Services Inc Home Health 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 2018-05-14
1346742822 Chioma Ifeji Licensed Vocational Nurse 13317 Daystrom Court, Dallas, TX 75243 2018-03-01
1598282865 Kimberly Ann Whitney Social Worker 11520 N Central Expy Ste 254, Dallas, TX 75243 2017-08-27
1962934083 Dignity Private Care, LLC In Home Supportive Care 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 2017-03-29
1699214569 Vitalis Home Health LLC Home Health 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 2017-02-13
1881130946 Proniles Non-emergency Medical Transport (VAN) 12611 Hornbeam Dr, Dallas, TX 75243 2017-01-13
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Competitor

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City DALLAS
Zip Code 75243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.