Individual
TARA OKELOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6136 FRISCO SQUARE BLVD STE 400, FRISCO, TX 75034-3251
(855) 903-7827
Mailing address
1021 BRUNI CT, AUBREY, TX 76227-1321
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
25425781
TX
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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