Owolabi Jr. Holdings LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

OWOLABI JR. HOLDINGS LLC

Doing business as

Metro Foot & Ankle Specialists

Practice address

2205 Williams Trace Blvd Ste 106
Sugar Land, TX 77478-4443

Phone

(281) 891-3668

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Adekunle Owolabi Jr., DPMNPI 1649732983

Title

Managing Member

Phone

(832) 515-9249

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Metro Foot & Ankle Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Adekunle Owolabi Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
  • NPI 1649732983
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1487371522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 TYLER POINT LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "770891453",
            "telephone_number": "832-515-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WILLIAMS TRACE BLVD STE 106",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784443",
            "telephone_number": "281-891-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWOLABI JR. HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "OWOLABI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ADEKUNLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "832-515-9249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441157101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF TEXAS",
            "identifier": "1403131333",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Overgaard, PT
• Osazee Oviawe, MD
• Kami Kay Owen, DNP, APRN, FNP-BC
• Devonna McFarlin Owino, LCDC
• Christine Owojori
• Temilayo Temilade Owolabi, NP- FAMILY
• Thomas Adekunle Owolabi Jr., DPM
• Millicent Owusu
• Oxford Healthcare Services Inc
• Olanrewaju Oyedepo, AGACNP

• Foot & Ankle Surgery Podiatrist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.