Individual provider · Type 1 NPI

Oscar Anyabolu

Surgical Physician Assistant · Rockwall, TX

NPI number 1063295137 Active

Practice location

3136 Horizon Rd Ste 100
Rockwall, TX 75032-7808

Fax (855) 364-4959

Mailing address

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023

Other practice locations

  • 2001 N Jefferson Ave Ste 100, Mount Pleasant, TX 75455-1104 · (903) 577-6787
  • 1075 E Betteravia Rd Ste 201, Santa Maria, CA 93454-7023 · (805) 621-7651

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA17493 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1063295137

Oscar Anyabolu's National Provider Identifier is 1063295137, issued on Aug 14, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rockwall, TX. The record was last updated on May 7, 2026.