Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Temitope Ileso, DO

Individual provider Family Medicine Physician · NPI 1073171641

Mary Temitope Ileso, DO is a Family Medicine Physician in Jbsa Randolph, Texas. Licensed in Florida and Nebraska. Registered with an NPI since 2019.

Licensed in
FL, NE
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800
Phone: (210) 652-4127
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence NE2427 (NE)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0000000000 (FL)

Record details

NPI number1073171641
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800

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