Bola Elemuren Md. PA
NPI #1598959389 in Harker Heights, Texas
Provider Information
- NPI Number
- 1598959389
- Entity Type
- Organization
- Organization Name
- Bola Elemuren Md. PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOLA ELEMUREN MD.PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 5, 2007
- Last Updated
- Jan 10, 2012
Practice Location
- Address
- 740 S AMY LN
- Address 2
- STE 101
- City
- Harker Heights
- State
- Texas
- ZIP Code
- 76548-1343
- Phone
- (254) 699-8521
Authorized Official
- Name
- DR. IYABO BOLA ELEMUREN, M.D
- Title
- OWNER
- Phone
- (254) 699-8521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Family Medicine |
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