Individual
OLOLADE OMOKPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10900 RESEARCH BLVD, AUSTIN, TX 78759-5722
(347) 295-6565
Mailing address
1432 DA VINCI TRL, LEANDER, TX 78641-4246
(347) 295-6565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1180192
TX
Other
Enumeration date
03/28/2024
Last updated
11/26/2024
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