OMIANA ABIOLA AJIBADE


Address: 9055 Katy Fwy Ste P200, Houston, TX 77024-1624
Phone: 7134612915

OMIANA ABIOLA AJIBADE (NPI# 1598124190) 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) 1598124190
Entity Type Individual
Full Name OMIANA ABIOLA AJIBADE
Credential NURSE PRACTITIONER
Practice Address 9055 Katy Fwy Ste P200
Houston
TX 77024-1624
Mailing Address 6720 Bertner Ave
Suite P115
Houston
TX 77030-2604
Practice Telephone 7134612915
Mailing Telephone 8323553994
Enumeration Date 2016-02-11
Last Update Date 2020-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP129665 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9055 KATY FWY STE P200
City HOUSTON
State TX
Zip Code 77024-1624

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77024

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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.

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