Provider Demographics
NPI:1760006522
Name:OLUSESI, SAKIRUDEEN ADEGBOYEGA (FAMILY NURSE PRACTIT)
Entity Type:Individual
Prefix:
First Name:SAKIRUDEEN
Middle Name:ADEGBOYEGA
Last Name:OLUSESI
Suffix:
Gender:M
Credentials:FAMILY NURSE PRACTIT
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Mailing Address - Street 1:14402 CYPRESS MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4641
Mailing Address - Country:US
Mailing Address - Phone:832-631-0975
Mailing Address - Fax:
Practice Address - Street 1:310 MORNINGSIDE DR UNIT 192
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77549-0867
Practice Address - Country:US
Practice Address - Phone:346-385-3500
Practice Address - Fax:949-404-6118
Is Sole Proprietor?:No
Enumeration Date:2020-06-07
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP146063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily