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Individual
MS. OMOBOLAJI ALLYSON AWONIYI
Active
Individual
MS. OMOBOLAJI ALLYSON AWONIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1019549
TX
363LF0000X
Family Nurse Practitioner
95011572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019549
TEXAS NP LICENSE
TX
01
—
1M9194
TEXAS MEDICARE PTAN
TX
01
—
1M9195
TEXAS MEDICARE PTAN
TX
01
—
1M9200
TEXAS MEDICARE PTAN
TX
Enumeration date
05/23/2019
Last updated
08/06/2026
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