Healthcare Provider Details

I. General information

NPI: 1992307672
Provider Name (Legal Business Name): MOSUNMOLA O RUFAI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND TX
77478-3688
US

IV. Provider business mailing address

77 SUGAR CREEK CENTER BLVD STE 600
SUGAR LAND TX
77478-3688
US

V. Phone/Fax

Practice location:
  • Phone: 281-742-8432
  • Fax: 281-762-7011
Mailing address:
  • Phone: 281-742-8432
  • Fax: 281-762-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1023530
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: