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NPI Code Detail

MEDICARE: MISS TEMILOLUWA OLATUNDE OMISAKIN NP

MEDICARE: MISS TEMILOLUWA OLATUNDE OMISAKIN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1018126TX

General Provider Information

NPI Number : 1033842810
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TEMILOLUWA OLATUNDE OMISAKIN NP
Provider Business Mailing Address
First Line : 6401 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4815
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4815
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2022
Last Update Date : 05/01/2026

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