MEDICARE: TAIWO OJUOLAPE OJEWOLE M.D.

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	2080N0001X	Neonatal-Perinatal Medicine Physician	349947	LA
2	2080N0001X	Neonatal-Perinatal Medicine Physician	T0302	TX

General Provider Information

NPI Number	:	1134652795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAIWO OJUOLAPE OJEWOLE M.D.

Provider Business Mailing Address
First Line	:	6431 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-5733
Fax Number	:	713-500-5794

Provider Business Practice Location Address
First Line	:	929 GESSNER ROAD
Second Line	:	MEMORIAL HERMANN TOWER
City	:	HOUSTON
State	:	TX
Zip	:	77024-2515
Country	:	US
Telephone Number	:	713-242-3000
Fax Number	:	713-338-6466

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

Provider Enumeration Date	:	04/10/2017
Last Update Date	:	03/23/2026

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