Healthcare Provider Details

I. General information

NPI: 1316300858
Provider Name (Legal Business Name): OLUBUSOLA OLANIKE AKINWUMI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 POST OAK PLACE DR SUITE 130
HOUSTON TX
77027-3164
US

IV. Provider business mailing address

23015 FM 529 RD
KATY TX
77493-5065
US

V. Phone/Fax

Practice location:
  • Phone: 713-960-8008
  • Fax: 713-960-0965
Mailing address:
  • Phone: 732-331-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61435828
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129883
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: