Omobola Abosede Petinrin, FNP
Family Medicine in Waller, TX. Individual provider (NPI-1).
NPI number1669986196
StatusActive
Last updated in NPPESJan 8, 2026
Details
- NPI
- 1669986196
- Entity type
- Individual (NPI-1)
- Name
- Omobola Abosede Petinrin
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2017
- Certification date
- Jan 8, 2026
- Last updated
- Jan 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | AP134723 | TX | Yes |
Practice location
1225 Farr StWaller, TX 77484-8486
Phone 936-372-3003 · Fax 936-372-8070
Mailing address
12822 Shadow Canyon LnPearland, TX 77584-3640
Phone 646-441-0897
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