Odutayo, Funmilola O

Odutayo, Funmilola O is an individual health care provider with primary practice located at 3200 Avenue I , Rosenberg TX 77471-3630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Odutayo, Funmilola O can be contacted via phone (832) 344-3650.

Contact Information

Primary practice address
3200 Avenue I Rosenberg TX 77471-3630
Fax: (832) 344-3898
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 730330 Texas

Profile Details

NPI number 1679761845
LBN Legal business name Odutayo, Funmilola O
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Apr 18th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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