Individual
SAMUEL OLATUNDUN IRANLOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 VATICAN LN, DALLAS, TX 75224-4719
(214) 333-3393
(214) 333-0809
Mailing address
2225 VATICAN LN, DALLAS, TX 75224-4719
(214) 333-3393
(214) 333-0809
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144638
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP144638
—
TX
Enumeration date
01/27/2020
Last updated
10/13/2022
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