MEDICARE: OLAKUNLE OMIYALE

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063038495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLAKUNLE OMIYALE

Provider Business Mailing Address
First Line	:	2620 TANGLEWILDE ST STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3203
Country	:	US
Telephone Number	:	832-275-9109
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 TANGLEWILDE ST STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-3203
Country	:	US
Telephone Number	:	832-275-9109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	06/22/2020

Similar Medicare Providers

1659558021 — CHARLTON C ANYAGAFU
Practice Location Address:

2620 TANGLEWILDE ST STE 109
HOUSTON, TX
77063-3203

Practice Phone: 346-261-2083
Practice Fax: 346-341-3344

1780992925 — LA MANSION INTERESTS INC
Practice Location Address:

2620 TANGLEWILDE ST
HOUSTON, TX
77063-3203

Practice Phone: 713-860-8383
Practice Fax: 713-860-8384

1417241175 — CAROLYN WYLY
Practice Location Address:

2620 TANGLEWILDE ST
HOUSTON, TX
77063-3203

Practice Phone: 713-860-8383
Practice Fax: 713-860-8384

1467085167 — TANGLEWILDE DIALYSIS CENTER, LLC
Practice Location Address:

2620 TANGLEWILDE ST STE 110
HOUSTON, TX
77063-3203

Practice Phone: 832-605-3943
Practice Fax: 713-588-8863

1629736277 — SOFTLAND LABS
Practice Location Address:

2620 TANGLEWILDE ST # 201
HOUSTON, TX
77063-3203

Practice Phone: 708-483-8496
Practice Fax: 708-397-4252

1053432013 — EDUCARE COMMUNITY LIVING CORPORATION-GULF COAST
Practice Location Address:

7206 BENWICH CIR
HOUSTON, TX
77095-3203

Practice Phone: 281-463-1034
Practice Fax:

Directions to “ OLAKUNLE OMIYALE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.