Organization
OMEGA 12 MANAGEMENT PLLC
Active
Organization
OMEGA 12 MANAGEMENT PLLC
Active
Other names
Project Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MILES RAIZADA MD (PHYSICIAN)
(940) 364-4007
Entity
Organization
Contact information
Practice address
PO BOX 184, WALL, TX 76957-0184
(940) 364-4007
Mailing address
PO BOX 184, WALL, TX 76957-0184
(940) 364-4007
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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