Provider Demographics
NPI:1861974388
Name:ADEROUNMU, MARGARET OLUSEYI
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:OLUSEYI
Last Name:ADEROUNMU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19802 PLANTATION GROVE TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4979
Mailing Address - Country:US
Mailing Address - Phone:832-641-9747
Mailing Address - Fax:
Practice Address - Street 1:19802 PLANTATION GROVE TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4979
Practice Address - Country:US
Practice Address - Phone:832-641-9747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323904164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse