Individual provider · NPI-1

Oscar Anyabolu

Physician Assistant, Surgical · Rockwall, TX

NPI number1063295137
StatusActive
Last updated in NPPESMay 7, 2026

Details

NPI
1063295137
Entity type
Individual (NPI-1)
Name
Oscar Anyabolu
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2023
Certification date
May 7, 2026
Last updated
May 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalPA17493TXYes
363A00000X Physician Assistant––

Practice location

3136 Horizon Rd Ste 100
Rockwall, TX 75032-7808

Phone 972-475-8914 · Fax 855-364-4959

Mailing address

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Phone 805-621-7651 · Fax 805-357-9333

Other practice locations

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Phone 805-621-7651 · Fax 805-357-9333

2001 N Jefferson Ave Ste 100
Mount Pleasant, TX 75455-1104

Phone 903-577-6787 · Fax 903-434-8072

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