Provider Demographics
NPI:1952934317
Name:TSOLENYANU, KODZO DELALI (NP)
Entity Type:Individual
Prefix:MR
First Name:KODZO
Middle Name:DELALI
Last Name:TSOLENYANU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 PEPPER CREST LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-1435
Mailing Address - Country:US
Mailing Address - Phone:832-766-2291
Mailing Address - Fax:
Practice Address - Street 1:7019 PEPPER CREST LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-1435
Practice Address - Country:US
Practice Address - Phone:832-766-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily