Provider Demographics
NPI:1376839498
Name:OMONIRA, HAMI
Entity Type:Individual
Prefix:MRS
First Name:HAMI
Middle Name:
Last Name:OMONIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 S RIDGE RD
Mailing Address - Street 2:#7112
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-2195
Mailing Address - Country:US
Mailing Address - Phone:214-604-6493
Mailing Address - Fax:
Practice Address - Street 1:4700 S RIDGE RD
Practice Address - Street 2:#7112
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2195
Practice Address - Country:US
Practice Address - Phone:214-604-6493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health