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Contact Information

MARIAM F AFOLABI, PA-C
1500 COOPER ST
FORT WORTH, TX76104-2710
 Phone: 682-885-2140
 Fax: 817-332-2506
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARIAM F AFOLABI · (Female)

NPI # 1801592613
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/02/2023
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA064194
  • TX License # PA17074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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