| Doctor Name: | OLUBANKE BABALOLA |
| NPI Number: | 1013329002 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP125699 |
| Business Practice Address: | 2306 Ranch Road 620 S Lakeway, TX - 787346269 |
| Business Phone Number: | 5122636000 |
| Business Fax Number: | |
| Mailing Address: | 521 Emma Rose, LEANDER |
| State: | TX |
| Postal Code: | 786418382 |
| Phone Number: | 6154036962 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2014 |
| NPI Last Update Date: | 05/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP125699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |