Provider Demographics
NPI:1326749177
Name:OLAWEPO, FOLUKEMI B (NP)
Entity type:Individual
Prefix:
First Name:FOLUKEMI
Middle Name:B
Last Name:OLAWEPO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6502 BANDERA RD STE 200E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1454
Mailing Address - Country:US
Mailing Address - Phone:800-950-0026
Mailing Address - Fax:702-952-5257
Practice Address - Street 1:6502 BANDERA RD STE 200E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1454
Practice Address - Country:US
Practice Address - Phone:800-950-0026
Practice Address - Fax:702-952-5257
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ296264363LP0808X
WAAP61474799363LP0808X
TX1113020363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty