Healthcare Provider Details

I. General information

NPI: 1467645283
Provider Name (Legal Business Name): OLAYINKA M AYENI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25329 BUDDE RD STE 702
SPRING TX
77380-1695
US

IV. Provider business mailing address

25329 BUDDE RD STE 702
SPRING TX
77380-1695
US

V. Phone/Fax

Practice location:
  • Phone: 281-803-5882
  • Fax: 581-803-5881
Mailing address:
  • Phone: 281-803-5882
  • Fax: 281-803-5881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberP5329
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberP5329
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberP5329
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP5329
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number04703
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: