Provider Demographics
NPI:1831487214
Name:ONIYITAN, OLUWASEYI A
Entity Type:Individual
Prefix:
First Name:OLUWASEYI
Middle Name:A
Last Name:ONIYITAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5326 W BELLFORT ST
Mailing Address - Street 2:SUITE 232 A/B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3041
Mailing Address - Country:US
Mailing Address - Phone:713-729-6466
Mailing Address - Fax:713-729-6458
Practice Address - Street 1:5326 W BELLFORT ST
Practice Address - Street 2:SUITE 232 A/B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3041
Practice Address - Country:US
Practice Address - Phone:713-729-6466
Practice Address - Fax:713-729-6458
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10005803416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport