Bolanle Adebola
Nurse Practitioner, Family in Pearland, TX. Individual provider (NPI-1).
NPI number1902319791
StatusActive
Last updated in NPPESSep 8, 2022
Details
- NPI
- 1902319791
- Entity type
- Individual (NPI-1)
- Name
- Bolanle Adebola
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2017
- Certification date
- Sep 8, 2022
- Last updated
- Sep 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 784910 | TX | Yes |
Practice location
2702 Royal Creek CtPearland, TX 77584-1687
Phone 832-715-3154
Mailing address
2702 Royal Creek CtPearland, TX 77584-1687
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