Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP133294 | TX |
NPI | 1023397072 |
---|---|
Provider Name | Tosin Adigun |
First Address | Katy, TX 77494-5203 |
Second Address | Katy, TX 77494-5203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2011 |
Last Update Date | 25/07/2017 |