Provider Demographics
NPI:1659952984
Name:ALUKO, OLUWATOYIN (NP)
Entity Type:Individual
Prefix:MRS
First Name:OLUWATOYIN
Middle Name:
Last Name:ALUKO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:OLUWATOYIN
Other - Middle Name:
Other - Last Name:ALUKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:2401 CALLENDER RD STE 109
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8869
Mailing Address - Country:US
Mailing Address - Phone:682-253-2130
Mailing Address - Fax:888-830-0569
Practice Address - Street 1:2401 CALLENDER RD STE 109
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8869
Practice Address - Country:US
Practice Address - Phone:682-253-2130
Practice Address - Fax:888-830-0569
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661694163W00000X
TX893763163WM0705X, 363LP0808X
NM65564363LP0808X
TX1036636363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical