MEDICARE: MS. OMOBOLA PATRICIA OLORUNSIWA

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1760027783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. OMOBOLA PATRICIA OLORUNSIWA

Provider Business Mailing Address
First Line	:	6403 SIERRA BLANCA DR APT 50210000
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1544
Country	:	US
Telephone Number	:	505-712-9948
Fax Number	:

Provider Business Practice Location Address
First Line	:	6403 SIERRA BLANCA DR APT 502
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-1530
Country	:	US
Telephone Number	:	505-712-9948
Fax Number	:

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

Provider Enumeration Date	:	11/13/2019
Last Update Date	:	11/13/2019

Similar Medicare Providers

1699718205 — HEIDI A CASTILLO M.D.
Practice Location Address:

6701 FANNIN STREET , SUITE 1530
HOUSTON, TX
77030

Practice Phone: 832-822-3423
Practice Fax: 832-825-9065

1184733925 — DR. TARA MYERS M.D.
Practice Location Address:

22475 TOMBALL PKWY
HOUSTON, TX
77070-1530

Practice Phone: 281-320-8500
Practice Fax: 281-320-8580

1538271895 — MS. PHYLLIS E TAL PT
Practice Location Address:

1530 HAVEN LOCK DR
HOUSTON, TX
77077-4208

Practice Phone: 281-920-4399
Practice Fax:

1730281700 — KAY M EDWARDS MA
Practice Location Address:

2002 HOLCOMBE BLVD
HOUSTON, TX
77030-1530

Practice Phone: 713-791-1414
Practice Fax:

1174728018 — EMERGENCY HEALTH CENTRE AT WILLOWBROOK
Practice Location Address:

22475 TOMBALL PKWY
HOUSTON, TX
77070-1530

Practice Phone: 713-785-7828
Practice Fax: 713-785-7858

1134324072 — IMAGING WILLOWBROOK, LLC
Practice Location Address:

22475 TOMBALL PKWY
HOUSTON, TX
77070-1530

Practice Phone: 713-785-7828
Practice Fax: 713-785-7858

Directions to “ MS. OMOBOLA PATRICIA OLORUNSIWA ” 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.