Healthcare Provider Details

I. General information

NPI: 1134099310
Provider Name (Legal Business Name): OLAYEMI OTULANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/19/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 ROSEFIELD DR
HOUSTON TX
77080-2605
US

IV. Provider business mailing address

9410 MEADOW POINT CT
HOUSTON TX
77095-2794
US

V. Phone/Fax

Practice location:
  • Phone: 713-479-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number44443
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: