| Bola Elemuren Md. Pa | |
|
740 S Amy Ln Ste 101 Harker Heights TX 76548-1343 | |
| (254) 699-8521 | |
| (254) 699-8528 |
| Full Name | Bola Elemuren Md. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 740 S Amy Ln, Harker Heights, Texas |
| Authorized Official Name and Position | Iyabo Bola Elemuren (OWNER) |
| Authorized Official Contact | 2546998521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bola Elemuren Md. Pa 740 S Amy Ln Ste 101 Harker Heights TX 76548-1343 Ph: (254) 699-8521 | Bola Elemuren Md. Pa 740 S Amy Ln Ste 101 Harker Heights TX 76548-1343 Ph: (254) 699-8521 |
| NPI Number | 1598959389 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598959389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K4050 (Texas) | Primary |
| 363A00000X | Physician Assistant | PA01547 (Texas) | Secondary |
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Dr Iyabo A Elemuren-ogunmuyiwa Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 813 S Amy Ln, Suite 101, Harker Heights, TX 76548 Phone: 254-699-8521 Fax: 254-213-1509 | |
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