Individual
ABIMBOLA MOBOLAJI OYEDEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
10807 PERN BETL RD STE 300, SAN ANTONIO, TX 78217-3144
(210) 245-7862
(210) 245-7951
Mailing address
10807 PERN BETL RD STE 300, SAN ANTONIO, TX 78217-3144
(210) 245-7862
(210) 245-7951
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1079440
TX
Other
Enumeration date
06/05/2022
Last updated
05/10/2024
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