Active NPIIndividual provider

Mariam F Afolabi, PA-C

Physician Assistant in Fort Worth, Texas

NPI Number1801592613
Practice location
1500 Cooper St, Fort Worth, TX 76104-2710
Fax
817-332-2506
Last updated
April 2, 2024

Mariam F Afolabi, PA-C is a Physician Assistant based in Fort Worth, TX. Mariam F Afolabi, PA-C holds the professional credentials of PA-C. The NPI number for Mariam F Afolabi, PA-C is 1801592613 and holds license No. PA17074 (TX). The current practice location address is 1500 Cooper St, Fort Worth, TX 76104-2710 and the office can be reached by phone at 682-885-2140 and by fax at 817-332-2506. The NPI was assigned on February 2, 2023 and the record was last updated in NPPES on April 2, 2024.

●Provider Profile Details

NPI Number
1801592613
Provider Name
Mariam Folakemi Afolabi
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Enumeration Date
February 2, 2023
Last Update Date
April 2, 2024
Certification Date
April 2, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1500 Cooper St
Fort Worth, TX 76104-2710
State
Texas
ZIP
76104-2710
Country
US
Phone Number
682-885-2140
Fax Number
817-332-2506

Get directions →

✉Business Mailing Address

Address
Po Box 733784
Dallas, TX 75373-3784
City
Dallas
State
TX
ZIP
75373-3784
Phone Number
682-885-6483
Fax Number
682-885-3113

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant363A00000XYesPA17074TX
Physician Assistant, Medical363AM0700XNoMA064194PA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mariam F Afolabi, PA-C?

The NPI number of Mariam F Afolabi, PA-C is 1801592613. It was assigned on February 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Mariam F Afolabi, PA-C?

Mariam F Afolabi, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA17074 (TX).

Where does Mariam F Afolabi, PA-C practice?

The practice location is 1500 Cooper St, Fort Worth, TX 76104-2710. The office can be reached at 682-885-2140 (phone) or 817-332-2506 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801592613 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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