MEDICARE: MRS. OLUWATOYIN ALUKO 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
1	163W00000X	Registered Nurse	661694	NY
2	163WM0705X	Medical-Surgical Registered Nurse	893763	TX
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	893763	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	65564	NM
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	404562	NY
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277237	AZ
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1036636	TX

General Provider Information

NPI Number	:	1659952984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLUWATOYIN ALUKO NP

Provider Business Mailing Address
First Line	:	2401 CALLENDER RD STE 109
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-8869
Country	:	US
Telephone Number	:	682-253-2130
Fax Number	:	888-830-0569

Provider Business Practice Location Address
First Line	:	2401 CALLENDER RD STE 109
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-8869
Country	:	US
Telephone Number	:	682-253-2130
Fax Number	:	888-830-0569

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	05/15/2024

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