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Staton Omo-Abu
NPI 1881466548 · on the registry since 2023 · sole proprietor
Practice
- Address
- 14455 Preston Rd Apt 108
Dallas, TX 75254 - Phone
- (512) 300-1829
- Organisation at this address
- First Crossla Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Technician
374700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-27
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