Organization
ELOSKI LLC
Active
Other names
Supreme Psychiatry Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELO OMAKOR NP (CEO)
(682) 272-5143
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD STE 330, DESOTO, TX 75115-2399
(682) 272-5143
(972) 440-2057
Mailing address
2609 ASHMONT WAY, VENUS, TX 76084-3691
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
10/08/2025
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