Organization
BETHESDA FAMILY PRACTICE LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEHINDE R AMOSUN NP (PROVIDER)
(214) 395-8659
Entity
Organization
Contact information
Practice address
3101 WILLOW CREEK CT, NORTHLAKE, TX 76226-4061
(214) 395-8659
(833) 966-2321
Mailing address
3101 WILLOW CREEK CT, NORTHLAKE, TX 76226-4061
(214) 395-8659
(833) 966-2321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08875754
DIVERS LICENSE
TX
Enumeration date
03/06/2020
Last updated
11/13/2025
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