Individual
KHADIJAH OLUWATOYIN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12221 MERIT DR STE 450, DALLAS, TX 75251-2294
(972) 770-1032
Mailing address
113 TURKS CAP TRL, WYLIE, TX 75098-4626
(713) 882-7674
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1116351
TX
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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