MEDICARE: FRANCISCA OMORUYI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	95344	TX

General Provider Information

NPI Number	:	1275365462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCA OMORUYI

Provider Business Mailing Address
First Line	:	2514 DOGTOOTH CT
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-2676
Country	:	US
Telephone Number	:	361-360-9097
Fax Number	:

Provider Business Practice Location Address
First Line	:	14641 GLADEBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-2807
Country	:	US
Telephone Number	:	361-360-9097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2024
Last Update Date	:	08/15/2024

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Directions to “ FRANCISCA OMORUYI ” Practice Location

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