DR. ISRAELDIVINE OLA KUYINU


Address: 8313 Southwest Fwy, Suite 239, Houston, TX 77074-1611
Phone: 7132719010

DR. ISRAELDIVINE OLA KUYINU (NPI# 1144545435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144545435
Entity Type Individual
Full Name DR. ISRAELDIVINE OLA KUYINU
Credential PHD, MHS, PA-C
Practice Address 8313 Southwest Fwy
Suite 239
Houston
TX 77074-1611
Mailing Address 9211 Havencrest Dr
Houston
TX 77083-5817
Practice Telephone 7132719010
Mailing Telephone 2818302533
Enumeration Date 2010-03-30
Last Update Date 2015-10-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 175F00000X Naturopath Other Service Providers
N 175L00000X Homeopath Other Service Providers
Y 363A00000X Physician Assistant PA06693 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA06693 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA06693 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX CAQH 12116713 01
TX 288027002 05

Office Location

Street Address 8313 SOUTHWEST FWY
SUITE 239
City HOUSTON
State TX
Zip Code 77074-1611

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1053728428 Complete Clinic, LLC Chiropractor 8313 Southwest Fwy, Suite 223, Houston, TX 77074-1611 2014-07-17
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1508101494 Space City Senior Care, LLC In Home Supportive Care 8313 Southwest Fwy, Ste. 109, Houston, TX 77074-1611 2012-12-03
1053623967 Paiman Shirzadi Chiropractor 8313 Southwest Fwy, Suite 223, Houston, TX 77074-1611 2010-07-08
1093946014 Caroline Njoku Registered Nurse 8313 Southwest Fwy, Suite 109, Houston, TX 77074-1611 2009-08-07
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345443 Avery Rhodes Schwartz Physician Assistant 2206 Latexo Dr, Houston, TX 77018-1717 2020-10-28
1881291938 Christine Nicole Nott Physician Assistant 13325 Hargrave Rd # 240, Houston, TX 77070-4539 2020-10-01
1306453659 Christine Michelle Serewis - Pond Physician Assistant 950 Threadneedle St # 282, Houston, TX 77079-2925 2020-09-29
1902412828 Chen-ho Yang Physician Assistant 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 2020-09-16
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1417575671 Harmeet Kaur Physician Assistant 9601 Jones Rd Ste 238, Houston, TX 77065-4774 2020-07-13
1780201939 Evelyn Oliva Physician Assistant 4943 Brenner St, Houston, TX 77022-2536 2020-07-02
1093330722 Stephanie Kochuparambil Physician Assistant 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 2020-06-09
1376171587 Samad Syed Ali Physician Assistant 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 2020-04-01
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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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