Provider Demographics
NPI:1760858997
Name:OLAYINKA M AYENI M.D PLLC
Entity Type:Organization
Organization Name:OLAYINKA M AYENI M.D PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLUFEYISIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-496-7817
Mailing Address - Street 1:25329 BUDDE RD STE 702
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1695
Mailing Address - Country:US
Mailing Address - Phone:281-803-5882
Mailing Address - Fax:281-803-5881
Practice Address - Street 1:25329 BUDDE RD STE 702
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1695
Practice Address - Country:US
Practice Address - Phone:281-803-5882
Practice Address - Fax:281-803-5881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP53292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty