Stravens Moseti Omwenga, is a
Nurse Practitioner based in Goodfellow Afb, Texas. Stravens Moseti Omwenga is licensed to practice in Nebraska (license number 112301) and his current practice location is
271 Fort Richardson Ave, Goodfellow Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(325) 654-3149.
NPI number for Stravens Moseti Omwenga is 1548779234 and his current mailing address is 3909 Ruthridge Dr, Plano, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548779234.
Provider's Profile
Full Name | Stravens Moseti Omwenga |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 271 Fort Richardson Ave, Goodfellow Afb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548779234
- Provider Enumeration Date: 09/25/2017
- Last Update Date: 09/25/2017
Medical Identifiers
Medical identifiers for Stravens Moseti Omwenga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548779234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 112301 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stravens Moseti Omwenga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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