=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386061620
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AYODELE O. OLOWOOKERE, M.D., P.A
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2014
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2110 W MICHIGAN AVE
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79701-5928
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-688-8888
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5317 SHADY BEND CT
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79707-1400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-599-3812
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. AYODELE O OLOWOOKERE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 432-599-3812
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | N4638
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------