Jrapha Healthcare Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L5497 Issued in TX

Legal business name

JRAPHA HEALTHCARE SERVICES

Practice address

13615 Neutron Rd
Dallas, TX 75244-4411

Phone

(972) 829-0098

Fax

(972) 436-0145

NPI assigned

Oct 6, 2006

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Olawole Samuel Oluwole, MD

Title

President and Medical Director

Phone

(972) 829-0098

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1184711731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 NEUTRON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444411",
            "telephone_number": "972-829-0098",
            "fax_number": "972-436-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 NEUTRON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444411",
            "telephone_number": "972-829-0098",
            "fax_number": "972-436-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRAPHA HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "OLUWOLE",
        "authorized_official_first_name": "OLAWOLE",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-829-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160177504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180514501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.