Individual
SAMUEL OMOROGBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
7908 MODESTO DR, ARLINGTON, TX 76001-6102
(817) 501-4559
Mailing address
7908 MODESTO DR, ARLINGTON, TX 76001-6102
(817) 501-4559
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142663
TX
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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