Provider Demographics
NPI:1386832095
Name:AWONIYI-OBRIMAH, DEBORAH (RNC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:AWONIYI-OBRIMAH
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 230209
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77223-0209
Mailing Address - Country:US
Mailing Address - Phone:713-660-1880
Mailing Address - Fax:713-926-9105
Practice Address - Street 1:7037 CAPITOL ST STE N100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4643
Practice Address - Country:US
Practice Address - Phone:713-660-1880
Practice Address - Fax:713-926-9105
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX747884363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health