MEDICARE: TOPE OLUKEMI OJEKUNLE

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
1	376J00000X	Homemaker	15784498	TX

General Provider Information

NPI Number	:	1346540739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOPE OLUKEMI OJEKUNLE

Provider Business Mailing Address
First Line	:	8711 KEEGANS FOREST LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2461
Country	:	US
Telephone Number	:	832-276-4755
Fax Number	:

Provider Business Practice Location Address
First Line	:	8711 KEEGANS FOREST LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-2461
Country	:	US
Telephone Number	:	832-276-4755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	11/01/2010

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Directions to “ TOPE OLUKEMI OJEKUNLE ” Practice Location

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