Individual provider · Type 1 NPI
Kochumole Daniel
Family Nurse Practitioner · Dallas, TX
NPI number
1255830949
Active
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
3707 Northaven Rd
Dallas, TX 75229-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP136495 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1255830949
Kochumole Daniel's National Provider Identifier is 1255830949, issued on Feb 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Feb 7, 2018.