Healthcare Provider Details

I. General information

NPI: 1164814331
Provider Name (Legal Business Name): KARIMOT KEHINDE ISIAKA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIMOT DIKKO

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GLENBOROUGH DR STE 550
HOUSTON TX
77067-3600
US

IV. Provider business mailing address

100 GLENBOROUGH DR STE 550
HOUSTON TX
77067-3600
US

V. Phone/Fax

Practice location:
  • Phone: 713-623-1852
  • Fax: 888-879-6188
Mailing address:
  • Phone: 713-623-1850
  • Fax: 888-879-6188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP127445
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: