Provider Demographics
NPI:1699377408
Name:ABAJINGIN, OLUWASEYI
Entity Type:Individual
Prefix:
First Name:OLUWASEYI
Middle Name:
Last Name:ABAJINGIN
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 1:7750 CULEBRA RD APT 1021
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-1482
Mailing Address - Country:US
Mailing Address - Phone:347-825-8227
Mailing Address - Fax:
Practice Address - Street 1:7750 CULEBRA RD APT 1021
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1482
Practice Address - Country:US
Practice Address - Phone:347-825-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1015099164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse