Individual
BISOLA OLUMEGBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4373 S HAMPTON RD, DALLAS, TX 75232-1058
(214) 339-9359
(214) 339-7326
Mailing address
7914 ROYAL LN APT A, DALLAS, TX 75230-3733
(469) 443-2830
(214) 339-7326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
675610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675610
BOARD OF NURSING EXAMINERS
TX
01
—
F06131088
AANP
TX
Enumeration date
11/04/2013
Last updated
11/04/2013
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