Michael G Omotola, PA-C
NPI #1124505615 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1124505615
- Entity Type
- Individual
- Name
- Michael G Omotola, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 26, 2018
- Last Updated
- Jul 26, 2018
Practice Location
- Address
- 2520 W I 20
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75052-7280
- Phone
- (512) 363-3257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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