Healthcare Provider Details

I. General information

NPI: 1982209912
Provider Name (Legal Business Name): BARAKAT OYENUGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARAKAT SOWEMIMO

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E SAUNDERS ST
LAREDO TX
78041-5474
US

IV. Provider business mailing address

11318 GRANADOS ST
LAREDO TX
78045-8956
US

V. Phone/Fax

Practice location:
  • Phone: 956-796-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1029190
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1029190
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number891710
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: