Alpha & Omega Family Practice

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ALPHA & OMEGA FAMILY PRACTICE

Practice address

1408 Fishergate Dr
Forney, TX 75126-3434

Phone

(256) 694-1277

NPI assigned

May 21, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Misori, NPNPI 1629171293

Title

Ceo

Phone

(256) 694-1277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Itoe Misori, CRNP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1629171293
  Medicare reassignment NPD Authorized official
• Ruth Ete Sakwe

  • Family Nurse Practitioner
  • Forney, TX
  • NPI 1104665769
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1962332858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FISHERGATE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FISHERGATE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263434",
            "telephone_number": "256-694-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "MISORI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-694-1277",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Forney, TX
• Providers in Forney, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.