Organization
STEDICLINIC PLLC
Active
Organization
STEDICLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYINKA AGBODO FNP (FAMILY NURSE PRACTITIONER)
(832) 745-8742
Entity
Organization
Contact information
Practice address
4560 FM 1960 RD W STE 106, HOUSTON, TX 77069
(832) 286-1061
(832) 286-1267
Mailing address
4560 FM 1960 RD W STE 106, HOUSTON, TX 77069-4628
(832) 286-1061
(832) 286-1267
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
363LF0000X
Family Nurse Practitioner
AP128483
TX
363LF0000X
Family Nurse Practitioner
AP130092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659746675
—
TX
05
—
358389004
—
TX
05
—
3604894
—
TX
Enumeration date
12/02/2015
Last updated
06/26/2018
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up