Organization Name: | INKERRA MEDICAL PC |
NPI Number: | 1669619235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IFEOLUMIPO SOFOLA (DOCTOR) |
Mailing Address: | 7901 Research Forest Dr Ste 1400 The Woodlands |
State: | TX US |
Postal Code: | 773821485 |
Phone Number: | 8327297456 |
Fax Number: | 8324159542 |
NPI Enumeration Date: | 01/19/2009 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | N0472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |