Individual
MRS. OMOLOLA OLAMIDE FAGBOYEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 BAYSHORE DR, MANSFIELD, TX 76063-6709
(817) 262-0506
Mailing address
800 BAYSHORE DR, MANSFIELD, TX 76063-6709
(817) 262-0506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1089643
TX
Other
Enumeration date
08/17/2022
Last updated
11/10/2025
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