Individual provider · NPI-1

Orane Omar Ewan

In Home Supportive Care · Dallas, TX

NPI number1992457196
StatusActive
Last updated in NPPESMay 10, 2022

Details

NPI
1992457196
Entity type
Individual (NPI-1)
Name
Orane Omar Ewan
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 19, 2022
Certification date
May 10, 2022
Last updated
May 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
242T00000X Perfusionist159082-1335TX

Practice location

419 Josephine St
Dallas, TX 75246-1457

Phone 813-500-8302

Mailing address

419 Josephine St
Dallas, TX 75246-1457

Phone 813-500-8302

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