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OMOBOLA ABOSEDE PETINRIN FNP
NPI 1669986196
Family Medicine in Waller, TX

Active since November 20, 2017
1225 FARR ST, WALLER, TX 77484(936) 372-3003(936) 372-8070 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Nov 20, 2017 (2 updates tracked since 2017).

About Omobola Abosede Petinrin Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMOBOLA ABOSEDE PETINRIN FNP (NPI 1669986196) is an individual family medicine provider in Waller, Texas, licensed in Texas (AP134723) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1669986196
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOMOBOLA ABOSEDE PETINRINCredential: FNP
Location Address1225 FARR STWaller, TX 77484-8486
Mailing Address12822 Shadow Canyon LnPearland, TX 77584-3640 · (646) 441-0897
Phone(936) 372-3003
Fax(936) 372-8070
Sole ProprietorYes
Enumeration DateNovember 20, 2017
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1669986196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · AP134723
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1225 FARR ST, Waller, TX 77484
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATIENCE AFOKAILU AKPOBOME FNP NP-C
Nurse Practitioner (Family)
1225 FARR ST
WALLER, TX 77484
Waller County (936) 372-3003
DR. PETER JAMES RASHE D.D.S.
Dentist
1225 FARR ST
WALLER, TX 77484
Waller County (936) 372-9293
FREEDOMCHOICE FAMILY CLINIC
Family Medicine
1225 FARR ST
WALLER, TX 77484
Waller County (936) 372-3003
MICHAEL DENNIS FITZPATRICK D.C.
Chiropractor
1225 FARR ST
WALLER, TX 77484
Waller County (936) 931-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omobola Petinrin's NPI number?

The NPI number for Omobola Petinrin is 1669986196. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Omobola Petinrin located?

Omobola Petinrin practices at 1225 Farr St, Waller, TX 77484. The listed phone number is (936) 372-3003.

What is Omobola Petinrin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Omobola Petinrin was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.