# MAO'S PROVIDER SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mao's Provider Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427883289
- **Authorized official:** MOSUNMOLA TEMITAYO ODUNSI (DIRECTOR)
- **Authorized official phone:** (918) 851-7549

## Contact information

- **Practice address:** 13107 CRESSIDA GLEN LN, HOUSTON, TX 77072-0113
- **Practice address phone:** (918) 851-7549
- **Mailing address:** 13107 CRESSIDA GLEN LN, HOUSTON, TX 77072-0113
- **Mailing address phone:** (918) 851-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2024
- **Last updated:** 09/03/2024