Simon Olubunmi Edgal

NPI #1225506421 in Katy, Texas

Provider Information

NPI Number: 1225506421
Entity Type: Individual
Name: Simon Olubunmi Edgal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 21739 MANITOU FALLS LN
City: Katy
State: Texas
ZIP Code: 77449-4697
Phone: (832) 748-4240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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