Provider Demographics
NPI:1881068047
Name:OLAGUNJU, OLANREWAJU (RN, BSN, MBA)
Entity type:Individual
Prefix:MR
First Name:OLANREWAJU
Middle Name:
Last Name:OLAGUNJU
Suffix:
Gender:M
Credentials:RN, BSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7423 GARLAND MIST LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4106
Mailing Address - Country:US
Mailing Address - Phone:281-239-8620
Mailing Address - Fax:832-945-2190
Practice Address - Street 1:7423 GARLAND MIST LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4106
Practice Address - Country:US
Practice Address - Phone:281-239-8620
Practice Address - Fax:832-945-2190
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013475163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health