MEDICARE: HAMZAT ADEFEMI OSHUN NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP128978	TX
2	363LA2200X	Adult Health Nurse Practitioner	AP128978	TX

General Provider Information

NPI Number	:	1518335090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMZAT ADEFEMI OSHUN NP

Provider Business Mailing Address
First Line	:	1901 W IRVING BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	214-570-0006
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 W IRVING BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75061-6823
Country	:	US
Telephone Number	:	214-570-0006
Fax Number	:

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

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	03/09/2026

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