Provider Demographics
NPI:1346540739
Name:OJEKUNLE, TOPE OLUKEMI
Entity Type:Individual
Prefix:
First Name:TOPE
Middle Name:OLUKEMI
Last Name:OJEKUNLE
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 1:8711 KEEGANS FOREST LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2461
Mailing Address - Country:US
Mailing Address - Phone:832-276-4755
Mailing Address - Fax:
Practice Address - Street 1:8711 KEEGANS FOREST LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2461
Practice Address - Country:US
Practice Address - Phone:832-276-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15784498376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker