MEDICARE: RHODA OLATAYO

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	363LA2100X	Acute Care Nurse Practitioner	1112690	TX

General Provider Information

NPI Number	:	1821706912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHODA OLATAYO

Provider Business Mailing Address
First Line	:	10814 S KIRKWOOD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-5009
Country	:	US
Telephone Number	:	281-498-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	10814 S KIRKWOOD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77099-5009
Country	:	US
Telephone Number	:	281-498-3200
Fax Number	:

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

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	03/24/2023

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Directions to “ RHODA OLATAYO ” Practice Location

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