Provider Demographics
NPI:1942489539
Name:BABAJIDE, OLUYEMISI ADEOLA (ADMINISTRATOR)
Entity Type:Individual
Prefix:
First Name:OLUYEMISI
Middle Name:ADEOLA
Last Name:BABAJIDE
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 COLD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3038
Mailing Address - Country:US
Mailing Address - Phone:214-448-6567
Mailing Address - Fax:682-518-8124
Practice Address - Street 1:709 COLD CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3038
Practice Address - Country:US
Practice Address - Phone:214-448-6567
Practice Address - Fax:682-518-8124
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716665163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator