person
Mrs. Olubusola Temidayo Daramola
Family Nurse Practitioner in Cleburne, Texas
NPI 1871842161

Olubusola Temidayo Daramola is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Olubusola Temidayo Daramola practices in Cleburne, TX. The NPI Number for Olubusola Temidayo Daramola is 1871842161 and holds a License No. 824556 (Texas).

The current practice location address for Olubusola Temidayo Daramola is 206 Walls Dr, Cleburne, TX and can be reached out via phone at 817-645-0668 and via fax at 817-645-0720.

Location: 206 Walls Dr, Cleburne, TX, 76132-2622
person
Provider Profile Details
NPI Number
1871842161
Provider Name
Olubusola Temidayo Daramola
Credential
Provider Entity Type
Individual
Gender
Female
Address
206 Walls Dr, Cleburne, TX, 76132-2622
Phone Number
817-645-0668
Fax Number
817-645-0720
Provider Enumeration Date
09/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO7564 01 TX RR GROUP
P01111340 01 TX RR MEDICARE PTAN
2035487-04 05 TX
3089625-01 05 TX
890N47 01 TX BCBS PTAN
institution
Provider Business Practice Location Address Details
Address
206 Walls Dr
City
State
Zip
76033-4045
Phone Number
817-645-0668
Fax Number
817-645-0720
person
Provider Business Mailing Address Details
Address
206 Walls Dr
City
State
Zip
76033-4045
Phone Number
817-645-0668
Fax Number
817-645-0720
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
824556 (Texas)
Definition
Definition to come...
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