Ileso, Mary Temitope
Ileso, Mary Temitope is an individual health care provider with primary practice located at 221 3Rd St W Bldg 1040 , Jbsa Randolph TX 78150-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ileso, Mary Temitope can be contacted via phone (210) 652-4127.Contact Information
Primary practice address
221 3Rd St W Bldg 1040
Jbsa Randolph TX 78150-4800
Phone: (210) 652-4127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0000000000 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | NE2427 | Nebraska |
Profile Details
| NPI number | 1073171641 |
|---|---|
| LBN Legal business name | Ileso, Mary Temitope |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2019 |
| Last updated | Aug 24th, 2023 - about 2 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.
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