Provider Demographics
NPI:1689295420
Name:OYEWOLE, ADESOLA FOLASADE
Entity type:Individual
Prefix:
First Name:ADESOLA
Middle Name:FOLASADE
Last Name:OYEWOLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 HAHLO ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-3022
Mailing Address - Country:US
Mailing Address - Phone:713-343-5511
Mailing Address - Fax:
Practice Address - Street 1:6300 WEST LOOP S STE 410
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2902
Practice Address - Country:US
Practice Address - Phone:832-726-1648
Practice Address - Fax:713-731-5226
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU8794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine