OLANREWAJU AWOFESO


Address: 2818 Shady Ln, Tyler, TX 75702-7745
Phone: 2102649748

OLANREWAJU AWOFESO (NPI# 1336622141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336622141
Entity Type Individual
Full Name OLANREWAJU AWOFESO
Practice Address 2818 Shady Ln
Tyler
TX 75702-7745
Practice Telephone 2102649748
Mailing Telephone 2102649748
Enumeration Date 2018-09-09
Last Update Date 2018-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376G00000X Nursing Home Administrator 9367 TX Nursing Service Related Providers

Office Location

Street Address 2818 SHADY LN
City TYLER
State TX
Zip Code 75702-7745

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
Find all providers in zip 75702

Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902419112 Quelyndria Washington Nursing Home Administrator 11740 Northpointe Blvd Apt 706, Tomball, TX 77377-6081 2020-08-26
1528699592 Katherine Ann Champion Nursing Home Administrator 4918 Mable St, Corpus Christi, TX 78411-4029 2020-01-29
1811552094 Gilda Vasquez Nursing Home Administrator 3132 Moonlit Lake Cir, League City, TX 77573-5972 2019-05-03
1982268918 Kelly Marie Ortiz Nursing Home Administrator 710 Shadowbrook Dr, Spring, TX 77380-2233 2019-04-25
1235615550 Sinai Mountain Homecare Nursing Home Administrator 464 Cedarwood Ave, Horizon City, TX 79928-6582 2018-07-19
1851821763 Brenda Joyce Cunningham Nursing Home Administrator 1798 Strickland Ln, Eagle Lake, TX 77434-7082 2017-06-13
1962936187 Heidi Mckay Nursing Home Administrator 3424 Tempest Ln, Oak Point, TX 75068-3319 2017-04-13
1083148449 Mashanda Deshazer Nursing Home Administrator 10807 Misty River Dr, Houston, TX 77086-1919 2017-04-12
1205216470 Deshun Stanley Nursing Home Administrator 13108 Grantham Ridge Ct, Rosharon, TX 77583 2015-06-03
1508270513 Katia Taylor Nursing Home Administrator 3911 Southern Sky, San Antonio, TX 78222-3457 2014-06-17
Find all providers with the same taxonomy

Competitor

Search similar providers

City TYLER
Zip Code 75702

Improve Information

Please comment or provide details below to improve the information on OLANREWAJU AWOFESO.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches