Olarewaju Opagini Ajayi
Individual provider Active NPI Registered Nurse · Rosenberg, TX
NPI 1043710684 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1043710684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 894908 (TX)
- Practice address
- 2830 Hazelwood Dr
Rosenberg, TX 77471-3295 - Phone
- (713) 562-8821
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 894908 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 894908 | TX | Yes |
Addresses
Primary practice location
2830 Hazelwood Dr
Rosenberg, TX 77471-3295
Mailing address
2830 Hazelwood Dr
Rosenberg, TX 77471-3295
Phone (713) 562-8821
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.