Provider Demographics
NPI:1952765331
Name:OLAWIN, ABDULQUADRI MOBOLAJI (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULQUADRI
Middle Name:MOBOLAJI
Last Name:OLAWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9525 KATY FREEWAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1407
Mailing Address - Country:US
Mailing Address - Phone:713-559-6929
Mailing Address - Fax:833-232-2594
Practice Address - Street 1:1635 NORTH LOOP WEST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:713-559-6929
Practice Address - Fax:833-232-2594
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS5456207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty