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NPI Code Detail

MEDICARE: MOSUNMOLA O RUFAI PMHNP

MEDICARE: MOSUNMOLA O RUFAI PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1023530TX

General Provider Information

NPI Number : 1992307672
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOSUNMOLA O RUFAI PMHNP
Provider Business Mailing Address
First Line : 77 SUGAR CREEK CENTER BLVD STE 600
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3688
Country : US
Telephone Number : 281-742-8432
Fax Number : 281-762-7011
Provider Business Practice Location Address
First Line : 77 SUGAR CREEK CENTER BLVD STE 600
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3688
Country : US
Telephone Number : 281-742-8432
Fax Number : 281-762-7011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 06/16/2026

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