Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | R3269 | TX |
NPI | 1023309986 |
---|---|
Provider Name | Dr. Tolulope Bakare |
First Address | Dallas, TX 75390-7202 |
Second Address | Dallas, TX 75390-7202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2011 |
Last Update Date | 12/11/2019 |