Organization · Type 2 NPI
Omega 12 Management PLLC
Addiction Medicine (Preventive Medicine) Physician · Wall, TX
NPI number
1700707080
Active
Practice location
PO Box 184
Wall, TX 76957-0184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
About NPI 1700707080
Omega 12 Management PLLC's National Provider Identifier is 1700707080, issued on Jul 23, 2026. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Wall, TX. The record was last updated on Jul 23, 2026.