Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itoro Cosmas Etim

Individual provider Licensed Vocational Nurse · NPI 1053906230

Itoro Cosmas Etim is a Licensed Vocational Nurse in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

13601 Preston Rd Ste 210W
Dallas, TX 75240-4986
Phone: (972) 702-0300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 1021444 (TX)

Record details

NPI number1053906230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021
Mailing address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986

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