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Alpha & Omega Family Practice

Nurse Practitioner in Forney, TX. Organization (NPI-2).

NPI number1962332858
StatusActive
Last updated in NPPESMay 21, 2026

Details

NPI
1962332858
Entity type
Organization (NPI-2)
Legal business name
Alpha & Omega Family Practice
Organization subpart
No
Enumeration date
May 21, 2026
Certification date
May 21, 2026
Last updated
May 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

1408 Fishergate Dr
Forney, TX 75126-3434

Phone 256-694-1277

Mailing address

1408 Fishergate Dr
Forney, TX 75126-3434

Authorized official

Charles Misori
Ceo
2566941277

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