Individual
GODWN EMOBEFO OMIGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2261 BROOKHOLLOW PLAZA DR STE 100, ARLINGTON, TX 76006-7417
(832) 967-8092
Mailing address
203 MENTOR DR, ARLINGTON, TX 76002-5435
(817) 262-3254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134957
TX
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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