Individual
MRS. MODUPE ARINUKE SOKUNBI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
626 RUSSELL BLVD, SUITE A, NACOGDOCHES, TX 75965
(936) 552-7216
(936) 552-7274
Mailing address
626 RUSSELL BLVD, SUITE A, NACOGDOCHES, TX 75965
(936) 552-7216
(936) 552-7274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000072BK
BCBS
TX
Enumeration date
03/24/2006
Last updated
07/08/2007
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