MEDICARE: IBIRONKE IRENE OLAWEPO

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	1204975	TX

General Provider Information

NPI Number	:	1285512350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IBIRONKE IRENE OLAWEPO

Provider Business Mailing Address
First Line	:	26717 WESTHEIMER PKWY UNIT 103
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	832-838-4031
Fax Number	:	832-838-4032

Provider Business Practice Location Address
First Line	:	26717 WESTHEIMER PKWY UNIT 103
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	832-838-4031
Fax Number	:	832-838-4032

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	01/29/2026

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Directions to “ IBIRONKE IRENE OLAWEPO ” Practice Location

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