Individual
DR. ABUOLA OMOT CHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 JACKSBORO HWY, WICHITA FALLS, TX 76302-1638
(640) 766-0174
(940) 766-4174
Mailing address
3601 JACKSBORO HWY, WICHITA FALLS, TX 76302-1638
(940) 766-0174
(940) 766-4174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4507565
—
TX
Enumeration date
10/13/2022
Last updated
10/13/2022
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