Provider Demographics
NPI:1174116420
Name:OWOLABI, TEMILAYO TEMILADE (NP- FAMILY)
Entity type:Individual
Prefix:
First Name:TEMILAYO
Middle Name:TEMILADE
Last Name:OWOLABI
Suffix:
Gender:F
Credentials:NP- FAMILY
Other - Prefix:
Other - First Name:TEMI
Other - Middle Name:TEMILADE
Other - Last Name:OWOLABI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP - FAMILY
Mailing Address - Street 1:3122 ORCHARD BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7312
Mailing Address - Country:US
Mailing Address - Phone:832-526-5445
Mailing Address - Fax:
Practice Address - Street 1:3122 ORCHARD BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7312
Practice Address - Country:US
Practice Address - Phone:832-526-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX657789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty