Individual
OMANA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CPNP
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-2550
Mailing address
1429 SUSAN LN, CARROLLTON, TX 75007-2738
(972) 394-0806
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
529640
TX
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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