Individual
OLUWAGBENGA MICHAEL OPANUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN - PMHNP
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(210) 941-6877
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(210) 941-6877
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN95280648
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10042777
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1189434
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
81552
NM
Other
Enumeration date
05/17/2022
Last updated
05/06/2026
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