MR. SAMUEL OLAOLUWA OMOLADE RN BSN NPI 1548799141

NPI Information

NPI: 1548799141
Provider Name: MR. SAMUEL OLAOLUWA OMOLADE, RN BSN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
11650 MCCREE RD
DALLAS, TX
ZIP 75238
Phone: (718) 304-4906
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MR. Samuel Olaoluwa Omolade, RN BSN is an administrator registered nurse in Dallas, TX. MR. Samuel Olaoluwa Omolade, RN BSN NPI is 1548799141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11650 MCCREE RD
DALLAS, TX
ZIP 75238-224
Phone: (718) 304-4906

The enumeration date for this NPI number is 6/7/2017 and was last updated on 11/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA2000X	Registered Nurse	Administrator	958104	TEXAS	Yes
2	164W00000X	Licensed Practical Nurse		320878-1	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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