Provider Demographics
NPI:1578621256
Name:SOFOLA, IFEOLUMIPO O (MD)
Entity Type:Individual
Prefix:DR
First Name:IFEOLUMIPO
Middle Name:O
Last Name:SOFOLA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9301 PINECROFT DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3179
Mailing Address - Country:US
Mailing Address - Phone:281-364-1001
Mailing Address - Fax:281-364-9095
Practice Address - Street 1:9301 PINECROFT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3179
Practice Address - Country:US
Practice Address - Phone:281-364-1001
Practice Address - Fax:281-364-9095
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-10-27
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Provider Licenses
StateLicense IDTaxonomies
TXN0472207YS0123X
GA039240207YS0123X
KYC2017207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery