SANDRA OWOLABI (NPI# 1477894319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477894319 |
| Entity Type | Individual |
| Full Name | SANDRA OWOLABI |
| Practice Address |
3603 Front St Suite 103 Brookshire TX 77423-9845 |
| Practice Telephone | 2819344444 |
| Practice Fax Number | 2819344443 |
| Mailing Telephone | 2819344444 |
| Mailing Fax Number | 2819344443 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
695000 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3603 FRONT ST SUITE 103 |
| City | BROOKSHIRE |
| State | TX |
| Zip Code | 77423-9845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083089080 | Pattison First Family Clinic | Clinic/Center | 3603 Front St, Suite: 102- 103, Brookshire, TX 77423-9845 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807383 | Haley Tijerina | Physical Therapy Assistant | 544 Otto Street, Brookshire, TX 77423 | 2020-10-08 |
| 1487266896 | Linh Nguyen | Physical Therapist | 710 Hwy 359 S, Brookshire, TX 77423 | 2020-08-18 |
| 1669016002 | Rosalyn Marie Willis | Technician | 4826 11th Street, Brookshire, TX 77423 | 2019-10-29 |
| 1659800761 | Hands That Care Home Health Services LLC | Home Health | 3212 Depot Street, Brookshire, TX 77423 | 2017-06-12 |
| 1245603752 | Laverne Gidget Moreland | Case Manager/Care Coordinator | 32303 Pintail Street, Brookshire, TX 77423 | 2015-11-05 |
| 1396144770 | Dewitt Medical District | Skilled Nursing Facility | 710 Highway 359 S, Brookshire, TX 77423 | 2014-08-21 |
| 1255770723 | Healthy Changes Hypnosis LLC | Clinic/Center | 9135 Katy Fwy., Ste. 119, Houston, TX 77423 | 2013-06-18 |
| 1093071995 | Serenitys Nest Rtc Inc. | Private Vehicle | 4822 Gassner Rd., Brookshire, TX 77423 | 2012-04-04 |
| 1003103326 | Mohammad Moridnia | Dentist | 3603 S. Front Street, Suite #107, Brookshire, TX 77423 | 2011-07-07 |
| 1295030153 | A Touch of Love Home Healthcare Agency | Home Health | 3430 Brookhollow Dr, Brookshire, TX 77423 | 2011-01-24 |
| Find all providers in zip 77423 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853276 | Gloria Williams | Nurse Practitioner | 29822 Bellous River Ln, Brookshire, TX 77423-4526 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKSHIRE |
| Zip Code | 77423 |
Please comment or provide details below to improve the information on SANDRA OWOLABI.
| 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.