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Owen O Omoragbon, NP
Family Nurse Practitioner in Dallas, Texas
NPI 1225363906

Owen O Omoragbon is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Owen O Omoragbon practices in Dallas, TX and has the professional credentials of NP. The NPI Number for Owen O Omoragbon is 1225363906 and holds a License No. 010877 (Texas).

The current practice location address for Owen O Omoragbon is 1230 River Bend Dr Ste 105, Dallas, TX and can be reached out via phone at 972-559-8003.

Location: 1230 River Bend Dr Ste 105, Dallas, TX, 75247-4916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225363906
Provider Name
Owen O Omoragbon
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1230 River Bend Dr Ste 105, Dallas, TX, 75247-4916
Phone Number
972-559-8003
Fax Number
Provider Enumeration Date
10/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010877 01 TX HOME CARE LICENSE
institution
Provider Business Practice Location Address Details
Address
1230 River Bend Dr Ste 105
City
Dallas
State
Texas
Zip
75247-4916
Phone Number
972-559-8003
Fax Number
person
Provider Business Mailing Address Details
Address
1230 River Bend Dr Ste 105
City
Dallas
State
Texas
Zip
75247-4916
Phone Number
972-559-8003
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
AP127005 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
010877 (Texas)
Definition
Definition to come...
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