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Organization

ALPHA AND OMEGA STAR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRIETTA A AGUWA FNP (OWNER)
(817) 564-4971
Entity
Organization

Contact information

Practice address
2356 CALENDAR CT, GRAND PRAIRIE, TX 75050-7626
(817) 564-4971
(281) 729-8173
Mailing address
2356 CALENDAR CT, GRAND PRAIRIE, TX 75050-7626
(817) 564-4971
(281) 729-8173

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/15/2025
Last updated
03/23/2026
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