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NPI Code Detail

MEDICARE: MS. RACHEL A OYEJIDE NP

MEDICARE: MS. RACHEL A OYEJIDE NP
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
1363LA2200XAdult Health Nurse PractitionerAP141288TX

General Provider Information

NPI Number : 1003475682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL A OYEJIDE NP
Provider Business Mailing Address
First Line : 4205 GOLDEN HORN LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2569
Country : US
Telephone Number : 682-333-2250
Fax Number : 682-333-2250
Provider Business Practice Location Address
First Line : 4205 GOLDEN HORN LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2569
Country : US
Telephone Number : 682-333-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2019
Last Update Date : 06/07/2019

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