Individual
IMOLEAYO OMOGUNSOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 MAPLETWIST ST, HOUSTON, TX 77083-6859
(346) 303-5186
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
977989
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1207194
TX
Other
Enumeration date
09/02/2020
Last updated
08/04/2025
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