Individual
CALLISTUS C OLISAEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 CARRIAGE HOUSE CIR APT 3005, ARLINGTON, TX 76011-4444
(469) 410-5315
Mailing address
1845 CARRIAGE HOUSE CIR # 33005, ARLINGTON, TX 76011-4577
(469) 410-5315
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
690631
TX
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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