Individual
ISAAC OLUFEMI OGUNSEYITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
819 HONTLEY DR, ARLINGTON, TX 76001-6151
(817) 703-5890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP139508
TX
Other
Enumeration date
08/27/2018
Last updated
12/20/2018
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