Omamogho, Rose G

Omamogho, Rose G is an individual health care provider with primary practice located at 1500 S Coulter St Ste 6 , Amarillo TX 79106-1790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Omamogho, Rose G can be contacted via phone (806) 467-9777.

Contact Information

Primary practice address
1500 S Coulter St Ste 6 Amarillo TX 79106-1790
Fax: (806) 467-9799
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04033 Texas

Profile Details

NPI number 1639189970
LBN Legal business name Omamogho, Rose G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 23rd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639189970 NPPES
Texas Other CL8509 LAB
Texas Other 143454100 LAB
Texas Other 8N8539 LAB

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