Daramola, Olubusola Temidayo
Daramola, Olubusola Temidayo is an sole proprietor health care provider with primary practice located at 206 Walls Dr , Cleburne TX 76033-4045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Daramola, Olubusola Temidayo can be contacted via phone (817) 645-0668.Contact Information
Primary practice address
206 Walls Dr
Cleburne TX 76033-4045
Phone: (817) 645-0668
Fax: (817) 645-0720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 824556 | Texas |
Profile Details
| NPI number | 1871842161 |
|---|---|
| LBN Legal business name | Daramola, Olubusola Temidayo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2012 |
| Last updated | Jun 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871842161 | NPPES |
| Texas | Other | DO7564 | RR GROUP |
| Texas | Other | P01111340 | RR GROUP |
| Texas | MEDICAID | 2035487-04 | RR GROUP |
| Texas | MEDICAID | 3089625-01 | RR GROUP |
| Texas | Other | 890N47 | RR GROUP |
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