Provider Demographics
NPI:1891329835
Name:XCESS CARE PLUS INC.
Entity Type:Organization
Organization Name:XCESS CARE PLUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/ NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:FUNMILOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUTAYO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:832-207-8224
Mailing Address - Street 1:1117 DESERT PALMS LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5882
Mailing Address - Country:US
Mailing Address - Phone:832-207-8224
Mailing Address - Fax:
Practice Address - Street 1:1117 DESERT PALMS LN
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5882
Practice Address - Country:US
Practice Address - Phone:832-207-8224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty