Organization
NACOGDOCHES NEPHROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOLAMU O. B. SOKUNBI M.D. (NEPHROLOGIST)
(936) 552-7216
Entity
Organization
Contact information
Practice address
626 RUSSELL BLVD, SUITE B, NACOGDOCHES, TX 75965-1246
(936) 552-7216
(936) 552-7274
Mailing address
626 RUSSELL BLVD, SUITE B, NACOGDOCHES, TX 75965-1246
(936) 552-7216
(936) 552-7274
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113679803
—
TX
Enumeration date
04/15/2009
Last updated
04/15/2009
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