Individual
BUKOLA SUKURAT AZEEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
825 E RUNDBERG LN, AUSTIN, TX 78753-4808
(512) 978-9600
(512) 901-9726
Mailing address
825 E RUNDBERG LN, AUSTIN, TX 78753-4808
(512) 978-9600
(512) 901-9726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125090
TX
Other
Enumeration date
02/19/2014
Last updated
01/12/2015
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