Organization
CORE CARE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIODUN AMBALI AGACNP-BC ACUTE CARE (OWNER/CEO)
(000) 000-0000
Entity
Organization
Contact information
Practice address
5900 BALCONES DR # TX, AUSTIN, TX 78731-4257
(000) 000-0000
(000) 000-0000
Mailing address
22947 BANFF BROOK WAY, TOMBALL, TX 77375-1420
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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