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Ms. Joann Modupe Bolude, MD
General Practice Physician in Cotulla, Texas
NPI 1255666335

Joann Modupe Bolude is a General Practice Physician based in Cotulla, TX. Joann Modupe Bolude practices in Cotulla, TX and has the professional credentials of MD. The NPI Number for Joann Modupe Bolude is 1255666335 and holds a License No. Q5763 (Texas).

The current practice location address for Joann Modupe Bolude is 105 S. Stewart, Cotulla, TX and can be reached out via phone at 830-879-3047 and via fax at 877-992-0112.

Location: 105 S. Stewart, Cotulla, TX, 78014-1013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255666335
Provider Name
Joann Modupe Bolude
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
105 S. Stewart, Cotulla, TX, 78014-1013
Phone Number
830-879-3047
Fax Number
877-992-0112
Provider Enumeration Date
10/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
365574801 05 TX
institution
Provider Business Practice Location Address Details
Address
105 S. Stewart
City
Cotulla
State
Texas
Zip
78014-7801
Phone Number
830-879-3047
Fax Number
877-992-0112
person
Provider Business Mailing Address Details
Address
105 S. Stewart
City
Cotulla
State
Texas
Zip
78014-7801
Phone Number
830-879-3047
Fax Number
877-992-0112
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
Q5763 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
Q5763 (Texas)
Definition
Definition to come...
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