Provider Demographics
NPI:1265808000
Name:ADEKUNLE, OLUSEYE
Entity type:Individual
Prefix:
First Name:OLUSEYE
Middle Name:
Last Name:ADEKUNLE
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 1:9886 WESTHEIMER RD
Mailing Address - Street 2:# 200-5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:832-882-4536
Mailing Address - Fax:
Practice Address - Street 1:9886 WESTHEIMER RD
Practice Address - Street 2:# 200-5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:832-882-4536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator