Individual
YETUNDE O IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5757 WARREN PKWY STE 300, FRISCO, TX 75034-4778
(561) 379-7199
(561) 379-7199
Mailing address
5757 WARREN PKWY STE 300, FRISCO, TX 75034-4778
(972) 377-2667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
248439
MA
207VE0102X
Reproductive Endocrinology Physician
Primary
S1136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1136
TX LICENSE
—
Enumeration date
06/06/2011
Last updated
05/23/2023
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