Organization
ARISE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAOBI MOEMENAM NURSE PRACTITIONER (NP/MANAGER)
(310) 800-8445
Entity
Organization
Contact information
Practice address
1617 PARK PLACE AVE, SUITE #110, FORT WORTH, TX 76110
(682) 302-0301
Mailing address
200 S OAKRIDGE DR STE 101, HUDSON OAKS, TX 76087-2501
(310) 800-8445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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