Individual
ADEOLA OGUNLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
2515 BUSINESS CENTER DR, PEARLAND, TX 77584-2294
(713) 442-7200
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
791719
TX
363LA2200X
Adult Health Nurse Practitioner
AP133408
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023063370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402629601
—
TX
Enumeration date
03/13/2017
Last updated
08/16/2023
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