Whalio Doctors

NPI 1336622141

Olanrewaju Awofeso

Practitioner Nursing Home Administrator Tyler, TX

Practice location

Address
2818 Shady Ln, Tyler, TX 75702-7745
Phone
(210) 264-9748

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence 9367 (TX)

Registry record

NPI
1336622141
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Sep 2018
Record last updated
9 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.