Provider Demographics
NPI:1144670936
Name:OYENIYI, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:OYENIYI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 VISTA RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2139
Mailing Address - Country:US
Mailing Address - Phone:713-770-6169
Mailing Address - Fax:713-429-0717
Practice Address - Street 1:3801 VISTA RD STE 300
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2139
Practice Address - Country:US
Practice Address - Phone:713-770-6169
Practice Address - Fax:713-429-0717
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.069030208600000X
TX48537208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery