Healthcare Provider Details

I. General information

NPI: 1902768583
Provider Name (Legal Business Name): MORUFAT OKUNNU PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5314 DASHWOOD DR
HOUSTON TX
77081-4603
US

IV. Provider business mailing address

11130 STABLEWOOD MEADOW TRL
RICHMOND TX
77406-3210
US

V. Phone/Fax

Practice location:
  • Phone: 713-281-6000
  • Fax:
Mailing address:
  • Phone: 832-812-3799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1218147
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: