Provider Demographics
NPI:1114231636
Name:ROMILUYI, OLUWADAMILOLA ABISOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUWADAMILOLA
Middle Name:ABISOLA
Last Name:ROMILUYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUWADAMILOLA
Other - Middle Name:ABISOLA
Other - Last Name:OLOWOYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:909 FROSTWOOD DR STE 1.100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9250 PINECROFT DR # N2.101
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3218
Practice Address - Country:US
Practice Address - Phone:713-897-5539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-01796208M00000X
TXP6052208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist