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1114231636 NPI number — OLUWADAMILOLA ABISOLA ROMILUYI M.D

NPI Number: 1114231636
Health Care Provider/Practitioner: OLUWADAMILOLA ABISOLA ROMILUYI M.D

Information about “1114231636” NPI (OLUWADAMILOLA ABISOLA ROMILUYI M.D) exists in 1114231636 in HTML format HTML  |  1114231636 in plain Text format TXT  |  1114231636 in PDF (Portable Document Format) PDF  |  1114231636 in an XML format XML  formats.

NPI Number : 1114231636 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114231636",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROMILUYI",
    "FirstName": "OLUWADAMILOLA",
    "MiddleName": "ABISOLA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OLOWOYO",
    "OtherFirstName": "OLUWADAMILOLA",
    "OtherMiddleName": "ABISOLA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "909 FROSTWOOD DR STE 1.100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77024-2301",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9250 PINECROFT DR # N2.101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHENANDOAH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77380-3218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-897-5539",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/27/2010",
    "LastUpdateDate": "09/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "P6052",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "P6052",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "2013-01796",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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