Stravens Moseti Omwenga, | |
271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | |
(325) 654-3149 | |
Not Available |
Full Name | Stravens Moseti Omwenga |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 271 Fort Richardson Ave, Goodfellow Afb, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548779234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 112301 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stravens Moseti Omwenga, 3909 Ruthridge Dr, Plano, TX 75074-7785 Ph: (469) 733-2200 | Stravens Moseti Omwenga, 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 Ph: (325) 654-3149 |
Mr. Michael Roy De Jesus, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-3149 | |
Jackelyn Marie Wiser, APRN- FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 Phone: 325-654-5391 |