Individual
MONICA L OMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 12TH AVE STE 168, FORT WORTH, TX 76104-3947
(817) 332-6639
(817) 332-6643
Mailing address
1001 12TH AVE STE 168, FORT WORTH, TX 76104-3947
(817) 332-6639
(817) 332-6643
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J7615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140811401
—
TX
Enumeration date
08/17/2005
Last updated
04/13/2020
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