| Modupe Oluwatoyin Idowu, | |
|
1801 S Carrier Pkwy, Grand Prairie, TX 75051-3702 | |
| (972) 433-0088 | |
| (972) 730-9801 |
| Full Name | Modupe Oluwatoyin Idowu |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1801 S Carrier Pkwy, Grand Prairie, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104680255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1124176 (Texas) | Primary |
| Entity Name | Reliant Family Medicine & Psychiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750780235 PECOS PAC ID: 6305161050 Enrollment ID: O20150220001833 |
| Mailing Address | Practice Location Address |
|---|---|
| Modupe Oluwatoyin Idowu, 7305 Aster Dr, Venus, TX 76084-3776 Ph: (130) 180-6611 | Modupe Oluwatoyin Idowu, 1801 S Carrier Pkwy, Grand Prairie, TX 75051-3702 Ph: (972) 433-0088 |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 |
Alora Riley, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2505 N Hwy 360 Ste 200&300, Grand Prairie, TX 75050 Phone: 214-930-0520 |
Macia Uche Micheal, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Mariposa Dr, Grand Prairie, TX 75054 Phone: 972-400-3900 Fax: 469-224-9190 |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |