Most Relevant Information
Provider Data
| NPI Number: | 1003203381 |
| Provider Name: | TITILOLA SODE |
| Entity Type: | Individual |
| Taxonomy Code: | 207ND0900X |
| Specialty: | Dermatology |
| License Number: | S5781 |
Most Important Dates
| Enumeration Date: | 04/23/2015 |
| Last Updated: | 05/04/2020 |
Provider Practice Location
5323 HARRY HINES BLVD
DALLAS
TX
753907708
Practice Location Phone/Fax
| Phone: | 2145908000 |
| Fax: |
Provider Mailing Location
5310 HARVEST HILL RD
STE 290
DALLAS
TX
752305826
Provider Mailing Phone/Fax
| Phone: | 2144200650 |
| Fax: | 2147360512 |