Provider Demographics
NPI:1952676595
Name:DADA, OLAJUMOKE (FNP)
Entity Type:Individual
Prefix:
First Name:OLAJUMOKE
Middle Name:
Last Name:DADA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:OLAJUMOKE
Other - Middle Name:
Other - Last Name:DADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:20133 ANNA BLUE CREST CT
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-2728
Mailing Address - Country:US
Mailing Address - Phone:718-666-5873
Mailing Address - Fax:
Practice Address - Street 1:FAMILY SURE HEALTH CLINIC
Practice Address - Street 2:9207 COUNTRY CREEK ST. SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036
Practice Address - Country:US
Practice Address - Phone:281-888-9458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily