Omole, Mickey Teemnah

Omole, Mickey Teemnah is an sole proprietor health care provider with primary practice located at 110 E Medical Center Blvd , Webster TX 77598-4301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Omole, Mickey Teemnah can be contacted via phone (832) 224-9500.

Contact Information

Primary practice address
110 E Medical Center Blvd Webster TX 77598-4301
Phone: (832) 224-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP132358 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP132358 Texas

Profile Details

NPI number 1598182958
LBN Legal business name Omole, Mickey Teemnah
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2014
Last updated Dec 13th, 2023 - about last year

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 1598182958 NPPES
Texas MEDICAID 374735401
Texas MEDICAID 374735402
Texas MEDICAID 374735404
Texas Other 8TL746
Texas MEDICAID 374735403

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