| NPI | 1346903754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADEKEMI S OLUDE Owner Of Entity 972-677-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-08-06 |