INNOCENT OMALE

BEDFORD, TX
NPI1326548637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP136144)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  AP136144)
Enumeration Date2018-02-14
Last Update Date2021-08-02
Business Address
INNOCENT OMALE FNP
2900 HIGHWAY 121 STE 120
BEDFORD, TX 76021-4033
Phone number: 817-921-3000
Mailing Address
INNOCENT OMALE FNP
1612 RIDGE HAVEN DR 412
ARLINGTON, TX 76011-9061
Phone number: 469-684-2022