BUKOLA SUKURAT AZEEZ


Address: 825 E Rundberg Ln, Austin, TX 78753-4808
Phone: 5129789600

BUKOLA SUKURAT AZEEZ (NPI# 1457776064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457776064
Entity Type Individual
Full Name BUKOLA SUKURAT AZEEZ
Credential FNP
Practice Address 825 E Rundberg Ln
Austin
TX 78753-4808
Practice Telephone 5129789600
Practice Fax Number 5129019726
Mailing Telephone 5129789600
Mailing Fax Number 5129019726
Enumeration Date 2014-02-19
Last Update Date 2015-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP125090 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 825 E RUNDBERG LN
City AUSTIN
State TX
Zip Code 78753-4808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528013281 David Vander Straten Family Medicine 825 E Rundberg Ln, #f, Austin, TX 78753-4808 2006-05-23
1801429956 Erin Byars Registered Nurse 825 E Rundberg Ln, Austin, TX 78753-4808 2020-02-18
1013478320 John Robert Benson Nurse Practitioner 825 E Rundberg Ln, Austin, TX 78753-4808 2019-03-28
1508323288 Elizabeth Ann Banks Counselor 825 E Rundberg Ln, Austin, TX 78753-4808 2019-02-28
1437437282 Aleeahna Phan Dentist 825 E Rundberg Ln, Suite A1, Austin, TX 78753-4808 2011-07-27
1104133610 Sharmin Hasnat Khan Dentist 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 2010-09-03
1962731505 Access Orthodontics of Rundberg Pa Dentist 825 E Rundberg Ln, Suite A-1, Austin, TX 78753-4808 2009-12-10
1275861924 Yu Yu Khin Internal Medicine 825 E Rundberg Ln, Suite B1, Austin, TX 78753-4808 2009-11-18
1679704076 Manjusha Tummala Dentist 825 E Rundberg Ln, A1, Austin, TX 78753-4808 2009-08-03
1588895379 Cindy Luu Pharmacist 825 E Rundberg Ln, Austin, TX 78753-4808 2009-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306486659 Gc Mental Wellness LLC Counselor 601 Farley Drive, Austin, TX 78753 2020-01-14
1871142992 Virgie Lee Clement Technician 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 2019-09-11
1851870190 Mallory Lynch, Od, Pllc Optometrist 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 2018-08-08
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1851883433 Greater Austin Transportation Company Taxi 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 2018-05-31
1093212151 Enamel Dentistry Parmer Park, Pllc Dentist 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 2018-04-06
1699270462 Kelly Marcello Nurse Practitioner 11207 N Lamar Blvd Ste B, Austin, TX 78753 2018-03-26
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1477908093 Nicole Amy Kosich Massage Therapist 8740 N. Lamar Blvd., Austin, TX 78753 2016-05-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1366049553 Lauren Nicole Crider Nurse Practitioner 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 2020-10-01
1366059784 Teresa Marie Reed Nurse Practitioner 3921 Steck Ave Ste A120, Austin, TX 78759-8669 2020-09-29
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1487265013 Lisa Karen Brogan Nurse Practitioner 1805 Forest Hill Dr, Austin, TX 78745-1720 2020-08-17
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Competitor

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City AUSTIN
Zip Code 78753

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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