Provider Demographics
NPI:1174492995
Name:STRIPES MEDICAL PLLC
Entity type:Organization
Organization Name:STRIPES MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEMIMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OMAVUEZI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:646-549-2725
Mailing Address - Street 1:PO BOX 7603
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79708-7603
Mailing Address - Country:US
Mailing Address - Phone:646-549-2725
Mailing Address - Fax:
Practice Address - Street 1:6707 BRIAROAKS DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-2236
Practice Address - Country:US
Practice Address - Phone:646-549-2725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care