MODUPE OLUWATOYIN IDOWU

GRAND PRAIRIE, TX
NPI1104680255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1124176)
Enumeration Date2024-02-09
Last Update Date2026-04-28
Business Address
MODUPE OLUWATOYIN IDOWU
1801 S CARRIER PKWY
GRAND PRAIRIE, TX 75051-3702
Phone number: 972-433-0088
Mailing Address
MODUPE OLUWATOYIN IDOWU
7305 ASTER DR
VENUS, TX 76084-3776
Phone number: 130-180-6611