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NPI Code Detail

MEDICARE: ATINUKE BANJO APRN -FNP

MEDICARE: ATINUKE BANJO APRN -FNP
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
1363LF0000XFamily Nurse PractitionerAP137852TX

General Provider Information

NPI Number : 1457681942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATINUKE BANJO APRN -FNP
Provider Business Mailing Address
First Line : 1 BAYLOR PLZ STE NC100 BCM MS: 621
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3411
Country : US
Telephone Number : 713-798-3444
Fax Number : 713-798-6111
Provider Business Practice Location Address
First Line : 1317 LAKE POINTE PKWY
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-3997
Country : US
Telephone Number : 713-798-3444
Fax Number : 713-798-6111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2010
Last Update Date : 09/05/2020

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