Provider Demographics
NPI:1356634877
Name:OLAOSUN, ADENRELE ABIOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADENRELE
Middle Name:ABIOLA
Last Name:OLAOSUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADENRELE
Other - Middle Name:ABIOLA
Other - Last Name:ADERIBIGBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7710 BEECHNUT ST STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3107
Mailing Address - Country:US
Mailing Address - Phone:713-773-1222
Mailing Address - Fax:
Practice Address - Street 1:7710 BEECHNUT ST STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-773-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8709207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine