Individual
JOAB ODHIAMBO ACHOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
Mailing address
2216 ELMWOOD DR APT 426, ARLINGTON, TX 76010-8754
(817) 946-4695
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143153
TX
Other
Enumeration date
05/04/2020
Last updated
08/30/2023
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