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Organization
JRAPHA HEALTHCARE SERVICES
Active
Organization
JRAPHA HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLAWOLE SAMUEL OLUWOLE MD (PRESIDENT AND MEDICAL DIRECTOR)
(972) 829-0098
Entity
Organization
Contact information
Practice address
13615 NEUTRON RD, DALLAS, TX 75244-4411
(972) 829-0098
(972) 436-0145
Mailing address
13615 NEUTRON RD, DALLAS, TX 75244-4411
(972) 829-0098
(972) 436-0145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160177504
—
TX
05
—
180514501
—
TX
Enumeration date
10/06/2006
Last updated
07/02/2010
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