Healthcare Provider Details

I. General information

NPI: 1255728457
Provider Name (Legal Business Name): BRIDGET K AWOSIKA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIDGET AKINRIBIDO

II. Dates (important events)

Enumeration Date: 04/25/2015
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9525 GREENVILLE AVE
DALLAS TX
75243-4116
US

IV. Provider business mailing address

1 RIVERWAY STE 700
HOUSTON TX
77056-1988
US

V. Phone/Fax

Practice location:
  • Phone: 945-258-7900
  • Fax: 713-583-5185
Mailing address:
  • Phone: 713-589-4122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP134772
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60884582
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: