Organization
ORISHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAHAN AYOOLA M.D. (PRESIDENT)
(940) 382-9429
Entity
Organization
Contact information
Practice address
4002 BARLEY DR, HIGHLAND VILLAGE, TX 75077-3196
(940) 382-9429
Mailing address
4002 BARLEY DR, HIGHLAND VILLAGE, TX 75077-3196
(940) 382-9429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
363AS0400X
Surgical Physician Assistant
—
—
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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