| Soumana Djibo, | |
|
855 Davis Blvd, Southlake, TX 76092-8244 | |
| (817) 912-1771 | |
| Not Available |
| Full Name | Soumana Djibo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 855 Davis Blvd, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760148753 | NPI | - | NPPES |
| 1760148753 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP141893 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Soumana Djibo, 3402 Rosemead Dr, Arlington, TX 76014-3557 Ph: Not Available | Soumana Djibo, 855 Davis Blvd, Southlake, TX 76092-8244 Ph: (817) 912-1771 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 |
Courtney Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1210 N Carroll Ave, Southlake, TX 76092 Phone: 817-533-8853 |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 |
Viktoria Zatkalik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 |