Provider Demographics
NPI:1396304390
Name:OLURODE, OLANREWAJU OMOBOLA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:OLANREWAJU
Middle Name:OMOBOLA
Last Name:OLURODE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9455 N SAM HOUSTON PKWY E STE 700
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-5018
Mailing Address - Country:US
Mailing Address - Phone:281-335-6111
Mailing Address - Fax:
Practice Address - Street 1:920 MEDICAL PLAZA DR STE 340
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3256
Practice Address - Country:US
Practice Address - Phone:713-897-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily