Rose G Omamogho in Amarillo - Physician Assistant

Rose G Omamogho - NPI 1639189970

Rose G Omamogho is a Physician Assistant in Amarillo, Texas. Rose G Omamogho practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rose G Omamogho is 1639189970. The last update date is 2010-02-23.

Rose G Omamogho's current location address is 1500 S Coulter St Ste 6, Amarillo, Texas. You can contact this provider via phone number 8064679777 and fax number 8064679799. The mailing address for Rose G Omamogho is 1500 S Coulter St Ste 6, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rose G Omamogho
Address 1500 S Coulter St Ste 6, Amarillo, Texas
Phone Number 8064679777
Fax Number 8064679799
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1639189970
Provider Enumeration Date 2006-08-09
Last Updated Date 2010-02-23

Provider Mailing Address Detail

Address 1500 S Coulter St Ste 6
City Amarillo
State Texas (TX)
Post Code 791061790
Phone Number 8064679777
Fax Number 8064679799

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA04033
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CL8509 TX LAB
143454100 TX FIRST CARE
8N8539 TX BCBS

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FAQs about Rose G Omamogho

What is the Rose G Omamogho's 1639189970?

The Rose G Omamogho's NPI (National Provider Identifier) Number is 1639189970. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Rose G Omamogho?

The Rose G Omamogho is physically situated at 1500 S Coulter St Ste 6, in the city of Amarillo, state of TX, with the postal code 791061790.

What is Rose G Omamogho's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Rose G Omamogho is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Rose G Omamogho receive its 1639189970 assignment from the Centers for Medicare & Medicaid Services?

The Rose G Omamogho was assigned its 1639189970 by the Centers for Medicare & Medicaid Services on 2006-08-09.

As of what date was the information regarding Rose G Omamogho, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Rose G Omamogho, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-02-23.

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