Provider Demographics
NPI:1780496943
Name:AKINWALE, TOSIN
Entity type:Individual
Prefix:
First Name:TOSIN
Middle Name:
Last Name:AKINWALE
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 1:13210 OLD RICHMOND RD APT 22
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6421
Mailing Address - Country:US
Mailing Address - Phone:713-208-8204
Mailing Address - Fax:
Practice Address - Street 1:13210 OLD RICHMOND RD APT 22
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6421
Practice Address - Country:US
Practice Address - Phone:713-208-8204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)