Individual
MRS. THERESA OMOHUNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
(915) 569-2723
Mailing address
5005 N PIEDRAS ST, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920-5001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
727901
TX
363LF0000X
Family Nurse Practitioner
AP125358
TX
Other
Enumeration date
02/28/2008
Last updated
11/02/2023
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