Healthcare Provider Details

I. General information

NPI: 1699150888
Provider Name (Legal Business Name): ADENIKE OKUNEYE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 N STADIUM DR
HOUSTON TX
77054-1829
US

IV. Provider business mailing address

8323 SOUTHWEST FWY STE 590
HOUSTON TX
77074-1616
US

V. Phone/Fax

Practice location:
  • Phone: 281-636-4399
  • Fax:
Mailing address:
  • Phone: 281-636-4399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number755895
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1040961
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1040961
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: