Individual provider · NPI-1

Olusola Tessy Agboola

Nurse Practitioner, Family · Cypress, TX

NPI number1508532227
StatusActive
Last updated in NPPESNov 4, 2022

Details

NPI
1508532227
Entity type
Individual (NPI-1)
Name
Olusola Tessy Agboola
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 22, 2021
Certification date
Nov 4, 2022
Last updated
Nov 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family1035548TXYes

Practice location

26265 Northwest Fwy
Cypress, TX 77429-1760

Phone 281-758-0092

Mailing address

32923 Silver Meadow Way
Brookshire, TX 77423-2885

Phone 763-291-3647

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