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NPI Code Detail

MEDICARE: KUDIRAT FOLORUNSHO SUNMONU NP-C

MEDICARE: KUDIRAT FOLORUNSHO SUNMONU NP-C
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
1207Q00000XFamily Medicine Physician786687TX
2363LF0000XFamily Nurse PractitionerAP134751TX

General Provider Information

NPI Number : 1548777915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUDIRAT FOLORUNSHO SUNMONU NP-C
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 : 832-474-2053
Fax Number :
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 : 832-474-2053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 08/02/2022

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Directions to “ KUDIRAT FOLORUNSHO SUNMONU NP-C” Practice Location

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