Search › Texas › 183500000X
Justin Olisaemeka
NPI 1588264972 · on the registry since 2020
Practice
- Address
- 2610 W Dickinson Blvd
Fort Stockton, TX 79735 - Phone
- (432) 336-7531
- Organisation at this address
- Wal-Mart Stores Texas Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas