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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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