O'winnie is a
Community Health Worker based in Dallas, Texas. O'winnie is licensed to practice in * (Not Available) (license number ) and their current practice location is
2922b Martin Luther King Jr Blvd, Dallas, Texas. It can be reached at their office (for appointments etc.) via phone at
(972) 850-6167.
NPI number for O'winnie is 1174247068 and their current mailing address is 2922 B Martin Luther King Jr, Room 301, Dallas, Texas. O'winnie
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174247068.
Healthcare Provider's Profile
| Full Name | O'winnie |
|---|
| Type | Facility |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2922b Martin Luther King Jr Blvd, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174247068
- Provider Enumeration Date: 10/04/2022
- Last Update Date: 10/14/2026
Medical Identifiers
Medical identifiers for O'winnie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174247068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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. O'winnie 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 |
|---|
O'winnie
2922 B Martin Luther King Jr, Room 301,
Dallas, TX 75215-2321
Ph: (972) 850-6167 | O'winnie
2922b Martin Luther King Jr Blvd,
Dallas, TX 75215-2321
Ph: (972) 850-6167 |
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