Mary O Adegborioye, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Missouri City, TX
NPI 1144868530 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1144868530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 32669 (TX)
- Practice address
- 16407 Red Oak Dr
Missouri City, TX 77489-3909 - Phone
- (281) 935-3502
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32669 | TX | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matoll Health Services Inc | Current |
Accepting new patients |
Locations
9800 Centre Pkwy
Ste 245
Houston, TX 77036
Phone (281) 935-3502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 32669 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | 32669 | TX | |
| Community Health Nurse Practitioner | 363LC1500X | 32669 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 32669 | TX | Yes |
Addresses
Primary practice location
16407 Red Oak Dr
Missouri City, TX 77489-3909
Mailing address
16407 Red Oak Dr
Missouri City, TX 77489-3909
Phone (281) 935-3502
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HOUSTON | Direct |
Other providers in Missouri City, TX
- Adeola Adams
- Adebo Clinic, PLLC
- Senait Mengisteab Adebo
- Oluwaseun Oluwasolape Adedeji
- Rachael O Adegbola
- Latoya Adekoya
- Adel Health Care Services LLC
- Adeyemi Adesola
- Milka Njeri Adewuyi
- Millicent C Adikaibe
All providers in Missouri City, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. 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.