Individual
ISLAMIA A OMOOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 875-7176
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1762
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
954527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954527
REGISTERD NURSE
TX
Enumeration date
01/04/2019
Last updated
01/04/2019
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