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Organization
STAR RISE PRIMARY CARE PLLC
Active
Organization
STAR RISE PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OYINDAMOLA STELLA AKINKUGBE FNP (FAMILY NURSE PRACTITIONER)
(401) 617-4653
Entity
Organization
Contact information
Practice address
10202 RYDER BND, SAN ANTONIO, TX 78254-4877
(401) 617-4653
Mailing address
10202 RYDER BND, SAN ANTONIO, TX 78254-4877
(401) 617-4653
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2026
Last updated
09/05/2026
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