Provider Demographics
NPI:1356793459
Name:ONI, OMOMENGBE (MD)
Entity type:Individual
Prefix:
First Name:OMOMENGBE
Middle Name:
Last Name:ONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:869 POPPY COVE LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-5772
Mailing Address - Country:US
Mailing Address - Phone:661-869-4482
Mailing Address - Fax:
Practice Address - Street 1:307 S MCDONALD ST STE 100E
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5604
Practice Address - Country:US
Practice Address - Phone:661-869-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV0827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine