Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omega 12 Management PLLC

Organization Addiction Medicine (Preventive Medicine) Physician · NPI 1700707080

Omega 12 Management PLLC is an Addiction Medicine (Preventive Medicine) Physician in Wall, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 184
Wall, TX 76957-0184
Phone: (940) 364-4007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X

Record details

NPI number1700707080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miles Raizada — Physician · (940) 364-4007
Other names Project Recovery
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing addressPo Box 184, Wall, TX 76957-0184