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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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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