Provider Demographics
NPI:1801332853
Name:JAMES, MODUPE (MD)
Entity type:Individual
Prefix:
First Name:MODUPE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MODUPE
Other - Middle Name:EBUNOLUWA
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:1526 ZINNIA RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3384
Mailing Address - Country:US
Mailing Address - Phone:718-901-8653
Mailing Address - Fax:718-901-8656
Practice Address - Street 1:4910 AIRPORT AVE STE A
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5759
Practice Address - Country:US
Practice Address - Phone:281-239-1445
Practice Address - Fax:281-239-0828
Is Sole Proprietor?:No
Enumeration Date:2017-01-15
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS93192084P0800X, 2084P0800X
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program