Provider Demographics
NPI:1215650775
Name:AKINTOLA, HELEN ABIMBOLA
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ABIMBOLA
Last Name:AKINTOLA
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 1:350 N SAM HOUSTON PKWY E STE B285
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3315
Mailing Address - Country:US
Mailing Address - Phone:713-696-9885
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E STE B285
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3315
Practice Address - Country:US
Practice Address - Phone:713-696-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088940363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty