Provider Demographics
NPI:1679699714
Name:NWAFOR, FRANCIS O (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:O
Last Name:NWAFOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:214-980-1920
Mailing Address - Fax:214-980-1686
Practice Address - Street 1:20 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:214-980-1920
Practice Address - Fax:214-980-1686
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK83882088P0231X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101972102Medicaid
TX079566801Medicaid
TX101972102Medicaid
TX00016RMedicare PIN
TXG05399Medicare UPIN