Provider Demographics
NPI:1609507748
Name:QUADRI-OYENUGA, OLUWABUNMI OYINADELIZY
Entity Type:Individual
Prefix:
First Name:OLUWABUNMI
Middle Name:OYINADELIZY
Last Name:QUADRI-OYENUGA
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 1:1501 S LOOP 288 STE 104
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4708
Mailing Address - Country:US
Mailing Address - Phone:940-484-6245
Mailing Address - Fax:940-484-6209
Practice Address - Street 1:3312 BENTGATE CT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8613
Practice Address - Country:US
Practice Address - Phone:940-484-6245
Practice Address - Fax:940-484-6209
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide