Individual
ELIZABETH A OWOLABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 S 5TH ST, WACO, TX 76798-1435
(832) 215-0740
Mailing address
16610 FOSTER POINT LN, HOUSTON, TX 77095-5519
(832) 215-0740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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