KIMBERLI OMWANGHE


Address: 221 Regency Pkwy Ste 121, Mansfield, TX 76063
Phone: 8174775884

KIMBERLI OMWANGHE (NPI# 1124413596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124413596
Entity Type Individual
Full Name KIMBERLI OMWANGHE
Credential M.D.
Practice Address 221 Regency Pkwy Ste 121
Mansfield
TX 76063
Mailing Address 221 Regency Pkwy Ste 121
Mansfield
TX 76063-5379
Practice Telephone 8174775884
Practice Fax Number 8174538091
Mailing Telephone 8174775884
Mailing Fax Number 8174538091
Enumeration Date 2015-04-02
Last Update Date 2018-09-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine E-10387 AR Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine R8448 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 E 6th St, Texarkana, AR 718545207 8707796000 8707796093
661 E Main St Ste 900, Midlothian, TX 760653343 4696125250 4696125251

Office Location

Street Address 221 REGENCY PKWY STE 121
City MANSFIELD
State TX
Zip Code 76063

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351474 Rudo P Madondo-gwitira Family Medicine 4201 Palmer Dr, Mansfield, TX 76063-3432 2020-09-23
1174937916 Kyle Ungvarsky Family Medicine 416 South Main Street, Mansfield, PA 16933 2014-06-19
1992143549 Philip U Ramirez Family Medicine 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 2013-06-05
1396066171 Jeffrey Urieto Family Medicine 1776 North Us 287, Suite 220, Mansfield, TX 76063 2010-06-16
1184882813 Doyle Fairchild Gallman Jr. Family Medicine 2360 Highway 157 N, Mansfield, TX 76063-7540 2008-05-29
1699958579 Pannaben H Nangha Family Medicine 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 2007-12-13
1992905376 Joseph M Kim Family Medicine 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 2007-07-23
1487861738 Erica L Sails Family Medicine 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 2007-05-17
1578618492 Doyle F Gallman Do Pa Family Medicine 2360 Fm 157 N, Mansfield, TX 76063-7540 2007-01-23
1689730996 Patricia Charlene Laurie Brock Family Medicine 1420 Parkside Dr, Mansfield, TX 76063-8618 2006-12-29
Find all providers in MANSFIELD

Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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