Olatunde, Modupe

Olatunde, Modupe is an individual health care provider with primary practice located at 1020 S. Carrier Pwky , Grand Prairie TX 75051. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Olatunde, Modupe can be contacted via phone (214) 743-1200.

Contact Information

Primary practice address
1020 S. Carrier Pwky Grand Prairie TX 75051
Phone: (214) 743-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP143862 Texas

Profile Details

NPI number 1063059756
LBN Legal business name Olatunde, Modupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2019
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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