Provider Demographics
NPI:1548889454
Name:OJO, DAMILOLA ESTHER
Entity type:Individual
Prefix:
First Name:DAMILOLA
Middle Name:ESTHER
Last Name:OJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14906 WESTPARK DR APT 723
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4951
Mailing Address - Country:US
Mailing Address - Phone:346-803-9226
Mailing Address - Fax:
Practice Address - Street 1:14906 WESTPARK DR APT 723
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4951
Practice Address - Country:US
Practice Address - Phone:346-803-9226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX987894163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics