Individual
BOLA OLASUNKANMI JAIYEOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701-6499
(432) 221-1111
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 221-4243
(432) 221-5981
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AP139389
TX
363L00000X
Nurse Practitioner
Primary
0024180467
VA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP139389
TX
Other
Enumeration date
10/19/2018
Last updated
05/14/2026
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