Individual
OMOTADE OYEBANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3300 S FM 1788, MIDLAND, TX 79706-2601
(432) 561-5915
Mailing address
1016 INDIGO CT, ODESSA, TX 79765-2511
(832) 818-2154
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1194523
TX
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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