MEDICARE: DR. IRENE OYOLU DNP, APRN, FNP-C

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	363LF0000X	Family Nurse Practitioner	F1016605	TX
2	363L00000X	Nurse Practitioner	F1016605	TX

General Provider Information

NPI Number	:	1184166290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE OYOLU DNP, APRN, FNP-C

Provider Business Mailing Address
First Line	:	5503 FRY RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5845
Country	:	US
Telephone Number	:	713-982-7080
Fax Number	:	281-463-4218

Provider Business Practice Location Address
First Line	:	5503 FRY RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-5845
Country	:	US
Telephone Number	:	713-982-7080
Fax Number	:	281-463-4218

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

Provider Enumeration Date	:	11/07/2016
Last Update Date	:	05/19/2022

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