Individual
MRS. BOLANLE BASIRAT OLAYIWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 743-1200
Mailing address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-6639
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136921
TX
Other
Enumeration date
03/12/2018
Last updated
12/08/2025
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