Individual
MRS. ADEOLA O IGHILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 BIG TREE TRL, LEANDER, TX 78641-3196
(817) 917-9518
Mailing address
7509 TIN CUP DR, ARLINGTON, TX 76001-5926
(817) 405-2900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142373
TX
363LA2200X
Adult Health Nurse Practitioner
AP142373
TX
363LG0600X
Gerontology Nurse Practitioner
AP142373
TX
Other
Enumeration date
06/05/2009
Last updated
04/29/2020
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