Individual
OSAYOMWANBO OMORODION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
(817) 985-7772
Mailing address
4400 OAK PARK LN, FORT WORTH, TX 76109-9534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0024189795
VA
363L00000X
Nurse Practitioner
Primary
1170843
TX
Other
Enumeration date
03/26/2024
Last updated
07/29/2025
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