ADEBOLA AWINO AGNP
NPI 1043109788
Family Medicine - Adult Medicine in Odessa, TX
Active since June 30, 2025
About Adebola Awino Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADEBOLA AWINO AGNP (NPI 1043109788) is an individual adult medicine provider in Odessa, Texas, licensed in Texas (1150175) and active in the NPI registry since June 2025.
NPPES Registry Identity
NPI1043109788
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameADEBOLA AWINOCredential: AGNP
Location Address1915 BOISE DROdessa, TX 79762-2106
Mailing Address1915 Boise DrOdessa, TX 79762-2106 · (832) 495-1221
Phone(832) 495-1221
Sole ProprietorYes
Enumeration DateJune 30, 2025
NPPES CertifiedJune 29, 2025
✔ NPI 1043109788 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TX · 1150175
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1915 BOISE DR, Odessa, TX 79762
Other Names 1
Former Name (1)Adebola Adelekan
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043109788, enumerated as an "individual" on June 30, 2025.
The provider is located at 1915 BOISE DR ODESSA, TX 79762 and the phone number is (832) 495-1221.
Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.
