Individual
AUGUSTINE KOJO OWUSU-ADADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2408
(432) 640-4606
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1016786
TX
Other
Enumeration date
03/20/2024
Last updated
06/03/2026
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