Provider Demographics
NPI:1568834984
Name:KOLAPO, SANDRA (ARNP, FPMHNP-BC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:KOLAPO
Suffix:
Gender:F
Credentials:ARNP, FPMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14405 WALTERS RD STE 1005
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1494
Mailing Address - Country:US
Mailing Address - Phone:832-958-9688
Mailing Address - Fax:
Practice Address - Street 1:14405 WALTERS RD STE 1005
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1494
Practice Address - Country:US
Practice Address - Phone:832-952-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-25
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN360926752363LP0808X
FLARNP9308697363LP0808X
TXAP130325363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health