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NPI Code Detail

MEDICARE: ADEBISI OGUNKELU

MEDICARE: ADEBISI OGUNKELU
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1190599TX

General Provider Information

NPI Number : 1326695362
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEBISI OGUNKELU
Provider Business Mailing Address
First Line : 4119 MONTROSE BLVD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4970
Country : US
Telephone Number : 512-956-6463
Fax Number : 866-653-5142
Provider Business Practice Location Address
First Line : 4119 MONTROSE BLVD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4970
Country : US
Telephone Number : 512-956-6463
Fax Number : 866-653-5142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 12/03/2025

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Directions to “ ADEBISI OGUNKELU ” Practice Location

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