Joseph Unuigboje Eromosele, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02395 Issued in TX

Practice address

8305 N la Homa Blvd
Ste B
Mission, TX 78574

Phone

(956) 581-0401

Fax

(956) 581-0654

NPI assigned

Jul 1, 2006

Last updated

Aug 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Healthcare Services,Inc

  dba Fe Family Clinic

  • Physician Assistant
  • Mission, TX
  • NPI 1508897166
  NPD (past) Authorized official
• Fe Family Clinic, LLC

  • Family Medicine Physician
  • Mission, TX
  • NPI 1043233273
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1104855493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730057",
            "telephone_number": "956-581-0401",
            "fax_number": "956-581-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 N LA HOMA BLVD",
            "address_2": "STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78574",
            "telephone_number": "956-581-0401",
            "fax_number": "956-581-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EROMOSELE",
        "first_name": "JOSEPH",
        "middle_name": "UNUIGBOJE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186065201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowered Life Ahead
• Gina Enriquez Mijares Flores, LPC
• Entrusted Care LLC
• Epical Healthmed Functional Practice PLLC
• ER Medical Supplies Inc
• Jose Escandon, M.D
• Emilio Escobar Jr., COTA
• Christina Vanessa Escobedo
• Annie Marie Castillo Esguerra, PT, DPT
• Eugenio Tranquilino Esguerra Jr., PT, DPT

• Physician Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.