Provider Demographics
NPI:1477081867
Name:AROWOSAYE, ABIOLA (NP)
Entity Type:Individual
Prefix:
First Name:ABIOLA
Middle Name:
Last Name:AROWOSAYE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 MILANO CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-4571
Mailing Address - Country:US
Mailing Address - Phone:713-505-3620
Mailing Address - Fax:
Practice Address - Street 1:12004 SHADOW CREEK PKWY STE 121
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7326
Practice Address - Country:US
Practice Address - Phone:713-714-1444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily