Organization Active NPI

Tyland Family Care Clinic Inc

  • Family Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1023744661
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TYLAND FAMILY CARE CLINIC INC
Practice address
8207 Longvale Dr
Rosenberg, TX 77469-5046
Phone
(832) 708-5515
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taiwo T Olusola
Title
Ceo
Phone
(832) 708-5515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8207 Longvale Dr
Rosenberg, TX 77469-5046

Mailing address

8207 Longvale Dr
Rosenberg, TX 77469-5046

National Provider Directory

National Provider Directory

Locations

2223A Highway 6 S
Houston, TX 77077
Phone (832) 708-5515

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1023744661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 LONGVALE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774695046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 LONGVALE DR",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774695046",
            "telephone_number": "832-708-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLAND FAMILY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "OLUSOLA",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-708-5515"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.