Provider Demographics
NPI:1487888301
Name:OLOWU, GABRIEL OLUFEMI
Entity type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:OLUFEMI
Last Name:OLOWU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 CROSS COURTS DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-7535
Mailing Address - Country:US
Mailing Address - Phone:312-213-7232
Mailing Address - Fax:972-422-2518
Practice Address - Street 1:1421 CROSS COURTS DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-7535
Practice Address - Country:US
Practice Address - Phone:312-213-7232
Practice Address - Fax:972-422-2518
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health