Kuyinu, Israeldivine Ola

Kuyinu, Israeldivine Ola is an individual health care provider with primary practice located at 8130 Morning Rose Ln , Houston TX 77095-4954. He recently has 5 registered licenses in different health care specialties including Other Service Providers / Naturopath, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Homeopath, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kuyinu, Israeldivine Ola can be contacted via phone (346) 624-7207.

Contact Information

Primary practice address
8130 Morning Rose Ln Houston TX 77095-4954
Phone: (346) 624-7207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06693 Texas
Other Service Providers / Homeopath 175L00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA06693 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA06693 Texas

Profile Details

NPI number 1144545435
LBN Legal business name Kuyinu, Israeldivine Ola
Credentials PHD, MHS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Apr 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144545435 NPPES
Texas Other 12116713 CAQH
Texas MEDICAID 288027002 CAQH

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