Individual
BISOLA JIMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 ELDRIDGE PKWY APT 637, HOUSTON, TX 77077-1651
(713) 835-6764
Mailing address
1415 ELDRIDGE PKWY APT 637, HOUSTON, TX 77077-1651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140961
TX
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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