Provider Demographics
NPI:1194914606
Name:BABALOLA, ELIZABETH ADEBOLA (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ADEBOLA
Last Name:BABALOLA
Suffix:
Gender:F
Credentials:APRN-BC
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Mailing Address - Street 1:515 SCARLET MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5005
Mailing Address - Country:US
Mailing Address - Phone:281-851-4719
Mailing Address - Fax:281-633-2601
Practice Address - Street 1:15200 SOUTHWEST FWY
Practice Address - Street 2:SUITE #180
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3845
Practice Address - Country:US
Practice Address - Phone:281-491-6767
Practice Address - Fax:281-491-6768
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-20
Last Update Date:2007-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX512671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily