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NPI Code Detail

MEDICARE: OLASUNKANMI MICHAEL ABIODUN

MEDICARE: OLASUNKANMI MICHAEL ABIODUN
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 Practitioner0024180323VA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner091187-23NH
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP142933TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457994576
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLASUNKANMI MICHAEL ABIODUN
Provider Business Mailing Address
First Line : 550 WESTCOTT ST STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77007-9001
Country : US
Telephone Number : 713-864-6694
Fax Number :
Provider Business Practice Location Address
First Line : 550 WESTCOTT ST STE 520
Second Line :
City : HOUSTON
State : TX
Zip : 77007-9001
Country : US
Telephone Number : 713-864-6694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 09/04/2025

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Directions to “ OLASUNKANMI MICHAEL ABIODUN ” Practice Location

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