Provider Demographics
NPI:1447874102
Name:AIGBEDION, FRIDAY UHUNOMA (NP)
Entity type:Individual
Prefix:
First Name:FRIDAY
Middle Name:UHUNOMA
Last Name:AIGBEDION
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N WATSON RD STE 268
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6222
Mailing Address - Country:US
Mailing Address - Phone:817-459-1220
Mailing Address - Fax:817-459-1224
Practice Address - Street 1:1201 N WATSON RD STE 268
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6222
Practice Address - Country:US
Practice Address - Phone:817-459-1220
Practice Address - Fax:817-459-1224
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP146099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily