Individual
FRANCIS TUNDE OMONIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
6500 BRYANT IRVIN RD, FORT WORTH, TX 76132-4100
(972) 232-7474
(972) 232-7401
Mailing address
PO BOX 261092, PLANO, TX 75026-1092
(972) 232-7474
(972) 232-7401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1074762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074762
LICENSE
TX
Enumeration date
06/08/2022
Last updated
09/28/2023
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