Provider Demographics
NPI:1740654292
Name:ARUWAJOYE, OLUTAYO
Entity type:Individual
Prefix:
First Name:OLUTAYO
Middle Name:
Last Name:ARUWAJOYE
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 1:3272 TARRANT LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5293
Mailing Address - Country:US
Mailing Address - Phone:469-347-0852
Mailing Address - Fax:
Practice Address - Street 1:3272 TARRANT LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5293
Practice Address - Country:US
Practice Address - Phone:469-347-0852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXGFP8467347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle