MEDICARE: OLUWADEMILADE O EVBUOMWAN-BURAIMOH 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	28177	SC
2	363LF0000X	Family Nurse Practitioner	F12170042	TX

General Provider Information

NPI Number	:	1730688151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWADEMILADE O EVBUOMWAN-BURAIMOH FNP-C

Provider Business Mailing Address
First Line	:	3614 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-3352
Country	:	US
Telephone Number	:	817-870-1873
Fax Number	:

Provider Business Practice Location Address
First Line	:	3614 CAMP BOWIE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-3352
Country	:	US
Telephone Number	:	817-870-1873
Fax Number	:

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

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/18/2026

Similar Medicare Providers

1669576450 — CVS PHARMACY INC
Practice Location Address:

3614 CAMP BOWIE BLVD
FT WORTH, TX
76107-3352

Practice Phone: 817-870-1873
Practice Fax: 817-338-0543

1255423711 — HOLLY E COKER PA
Practice Location Address:

3614 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3352

Practice Phone: 866-389-2727
Practice Fax:

1174036024 — SONDRA A MACH NP
Practice Location Address:

3614 CAMP BOWIE BLVD
FT WORTH, TX
76107-3352

Practice Phone: 866-389-2727
Practice Fax:

1043795800 — MS. THUY NGUYEN NGUYEN BSN, MSN, RN, FNP-C
Practice Location Address:

3614 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3352

Practice Phone: 817-870-1873
Practice Fax:

1104437839 — ALAN DT NGUYEN
Practice Location Address:

3614 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3352

Practice Phone: 817-870-1873
Practice Fax:

1073126595 — MICHELLE OYENEKAN
Practice Location Address:

3614 CAMP BOWIE BLVD
FORT WORTH, TX
76107-3352

Practice Phone: 817-870-1873
Practice Fax:

Directions to “ OLUWADEMILADE O EVBUOMWAN-BURAIMOH FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.