Kimberli Omwanghe, M.D.
Family Medicine in Mansfield, TX. Individual provider (NPI-1).
NPI number1124413596
StatusActive
Last updated in NPPESSep 4, 2018
Details
- NPI
- 1124413596
- Entity type
- Individual (NPI-1)
- Name
- Kimberli Omwanghe
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2015
- Last updated
- Sep 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R8448 | TX | Yes |
| 207P00000X | Emergency Medicine | E-10387 | AR | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
221 Regency Pkwy Ste 121Mansfield, TX 76063
Phone 817-477-5884 · Fax 817-453-8091
Mailing address
221 Regency Pkwy Ste 121Mansfield, TX 76063-5379
Phone 817-477-5884 · Fax 817-453-8091
Other practice locations
300 E 6th St
Texarkana, AR 71854-5207
Texarkana, AR 71854-5207
Phone 870-779-6000 · Fax 870-779-6093
661 E Main St Ste 900
Midlothian, TX 76065-3343
Midlothian, TX 76065-3343
Phone 469-612-5250 · Fax 469-612-5251
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All 68 Family Medicine Physician providers in Mansfield · All 2,284 providers in Mansfield
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