Modupe Adetutu Allen, FNP | |
14007 Sea Myrtle Ln, Sugar Land, TX 77498-2095 | |
(281) 701-9729 | |
Not Available |
Full Name | Modupe Adetutu Allen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14007 Sea Myrtle Ln, Sugar Land, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245708544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F10181507 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP139893 (Texas) | Primary |
Entity Name | Vpa Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
Entity Name | Minuteclinic Diagnostic Of Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Entity Name | Express Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891412193 PECOS PAC ID: 9537537584 Enrollment ID: O20221122001894 |
Entity Name | Consonant Healing Associates Of De Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669099321 PECOS PAC ID: 2466871694 Enrollment ID: O20230104000965 |
Mailing Address | Practice Location Address |
---|---|
Modupe Adetutu Allen, FNP 14007 Sea Myrtle Ln, Sugar Land, TX 77498-2095 Ph: (281) 701-9729 | Modupe Adetutu Allen, FNP 14007 Sea Myrtle Ln, Sugar Land, TX 77498-2095 Ph: (281) 701-9729 |