Most Relevant Information
Provider Data
| NPI Number: | 1003471251 |
| Provider Name: | BISOLA JIMOH |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP140961 |
Most Important Dates
| Enumeration Date: | 05/03/2019 |
| Last Updated: | 05/03/2019 |
Provider Practice Location
1415 ELDRIDGE PKWY APT 637
HOUSTON
TX
770771651
Practice Location Phone/Fax
| Phone: | 7138356764 |
| Fax: |
Provider Mailing Location
1415 ELDRIDGE PKWY APT 637
HOUSTON
TX
770771651
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |