Provider Demographics
NPI:1346539459
Name:OGUNLADE, OLUFOLAKE ABIDEMI (NPC)
Entity Type:Individual
Prefix:
First Name:OLUFOLAKE
Middle Name:ABIDEMI
Last Name:OGUNLADE
Suffix:
Gender:F
Credentials:NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6138 LINNHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-1530
Mailing Address - Country:US
Mailing Address - Phone:832-264-8360
Mailing Address - Fax:
Practice Address - Street 1:6138 LINNHAVEN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-1530
Practice Address - Country:US
Practice Address - Phone:832-264-8360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX599032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily