1952676595 NPI number — OLAJUMOKE DADA FNP

Table of content: OLAJUMOKE DADA FNP (NPI 1952676595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952676595 NPI number — OLAJUMOKE DADA FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DADA
Provider First Name:
OLAJUMOKE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DADA
Provider Other First Name:
OLAJUMOKE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1952676595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20133 ANNA BLUE CREST CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKSHIRE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77423-2728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-666-5873
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FAMILY SURE HEALTH CLINIC
Provider Second Line Business Practice Location Address:
9207 COUNTRY CREEK ST. SUITE 105
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-888-9458
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP142602 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)