MEDICARE: AIRATU SOYINKA AGACNP-BC, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1095065	TX
2	363L00000X	Nurse Practitioner	1095065	TX

General Provider Information

NPI Number	:	1245006683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIRATU SOYINKA AGACNP-BC, FNP-BC

Provider Business Mailing Address
First Line	:	6410 FANNIN ST STE 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	832-325-7080
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST STE 104
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3000
Country	:	US
Telephone Number	:	832-325-7080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	03/27/2026

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Directions to “ AIRATU SOYINKA AGACNP-BC, FNP-BC” Practice Location

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