Organization
ADELINE MEMORIAL MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNMILOLA O ODUTAYO FNP (PROVIDER)
(832) 344-3650
Entity
Organization
Contact information
Practice address
3200 AVENUE I, ROSENBERG, TX 77471-3630
(832) 344-3650
Mailing address
3200 AVENUE I, ROSENBERG, TX 77471-3630
(832) 344-3650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
08/06/2025
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