BOLA OLASUNKANMI JAIYEOLA


Address: 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088
Phone: 2815296486

BOLA OLASUNKANMI JAIYEOLA (NPI# 1235605064) 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) 1235605064
Entity Type Individual
Full Name BOLA OLASUNKANMI JAIYEOLA
Credential NP
Practice Address 8338 W Sam Houston Pkwy S Ste 198
Houston
TX 77072-5088
Practice Telephone 2815296486
Mailing Telephone 2815296486
Mailing Fax Number 2816177505
Enumeration Date 2018-10-19
Last Update Date 2019-05-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics AP139389 TX Allopathic & Osteopathic Physicians
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP139389 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
24218 Silversmith Ln, Katy, TX 774932683 8327362652
421 E 1st St, Dumas, TX 790293201 8069355094
636 S Peek Rd, Katy, TX 774503186 8324377239

Office Location

Street Address 8338 W SAM HOUSTON PKWY S STE 198
City HOUSTON
State TX
Zip Code 77072-5088

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NPI Name Taxonomy Address Enumeration
1972121416 Community Medical Clinic LLC Family Medicine 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 2020-07-10
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1043727852 Adrienne N Brown Counselor 7419 S Kirkwood Rd Ste A, Houston, TX 77072 2018-01-02
1235645441 Timothy Viet Do Pharmacist 12454 Beecnut Street Suite 8, Houston, TX 77072 2017-12-26
1255857165 Danielle Mondesir Nurse Practitioner 13131 Wilde Glen Lane, Houston, TX 77072 2017-08-22
1376063024 Florence Bennett Day Training, Developmentally Disabled Services 6111 Wilcrest Dr, Houston, TX 77072 2017-06-23
1437684297 Alief Chiro & Rehab, Inc. Chiropractor 10600 Bellaire Blvd Ste. 139, Houston, TX 77072 2017-04-28
1952858672 Thanhtam Thi Tran Dentist 820 W. Sam Houston Pkwy, Houston, TX 77072 2016-09-11
1174972996 Fresh Ortho Care, Pllc Dentist 12168 Bellaire Blvd- Ste. 100, Houston, TX 77072 2016-06-13
1437504255 Shilo Home Health Assisted Living Facility 7000 Cook Rd Apt 901, Houston, TX 77072 2016-04-29
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740896315 Mackenzie Brooks Jackson Nurse Practitioner 46 N Creekside Ct, Houston, TX 77055-7540 2020-09-19
1003444548 Evan Brietzke Nurse Practitioner 5325 Nina Lee Ln, Houston, TX 77092-5211 2020-03-30
1154955060 Jacob Tyler Parrish Nurse Practitioner 10918 Sagevale Ln, Houston, TX 77089-3709 2020-02-29
1609409903 Francoise Le Nurse Practitioner 6411 Fannin St # J1-400, Houston, TX 77030-1501 2020-02-15
1346873650 Marcus Patrick Bautista Nurse Practitioner 6770 Bertner Ave Ste C355, Houston, TX 77030-2604 2020-02-14
1235786161 Marcia Wilbourn Nurse Practitioner 14342 Cranbrook Creek Ln, Houston, TX 77044-6069 2019-08-26
1548815871 Molly A Varghese Nurse Practitioner 10043 Rhiney Ct, Houston, TX 77089-7045 2019-08-05
1801358122 Elizabeth Duran Nurse Practitioner 6720 Bertner Ave # O-520, Houston, TX 77030-2604 2019-04-04
1497213458 Shealynn Walker Nurse Practitioner 3800 Tanglewilde St Apt 1004, Houston, TX 77063-5163 2019-03-08
1568927002 Lucia Belleza Delapaz Nurse Practitioner 6624 Fannin St Ste 1630, Houston, TX 77030-2328 2019-02-08
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Competitor

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City HOUSTON
Zip Code 77072

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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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