Individual
DAMILOLA MARY BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6501 FANNIN ST STE NC114, HOUSTON, TX 77030-2703
(713) 798-7356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
968405
TX
367500000X
Certified Registered Nurse Anesthetist
623027
NY
367500000X
Certified Registered Nurse Anesthetist
968405
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP143223
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367500000X
—
NY
Enumeration date
11/01/2017
Last updated
10/11/2022
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