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STRAVENS MOSETI OMWENGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 76908-4901
(325) 654-3149
Mailing address
3909 RUTHRIDGE DR, PLANO, TX 75074-7785
(469) 733-2200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112301
NE
367500000X
Certified Registered Nurse Anesthetist
209032524
IL

Other

Enumeration date
09/25/2017
Last updated
10/09/2025
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