Individual
MODINAT LABAKE OLAYIWOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6400 FANNIN ST, HOUSTON, TX 77030-1521
(713) 486-8000
Mailing address
6400 FANNIN ST STE 2800, HOUSTON, TX 77030-1534
(713) 486-8000
(713) 486-8088
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1076823
TX
Other
Enumeration date
10/25/2023
Last updated
12/08/2023
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