Omobola Abosede Petinrin, FNP is a
Family Medicine physician based in Waller, Texas. Omobola Abosede Petinrin is licensed to practice in Texas (license number AP134723) and her current practice location is 1225 Farr St, Waller, Texas. She can be reached at her office (for appointments etc.) via phone at
(936) 372-3003.
NPI number for Omobola Abosede Petinrin is 1669986196 and her current mailing address is 12822 Shadow Canyon Ln, Pearland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669986196.
Physician's Profile
| Full Name | Omobola Abosede Petinrin |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1225 Farr St, Waller, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669986196
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 01/08/2026
Medical Identifiers
Medical identifiers for Omobola Abosede Petinrin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669986196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | AP134723 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omobola Abosede Petinrin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Omobola Abosede Petinrin, FNP
12822 Shadow Canyon Ln,
Pearland, TX 77584-3640
Ph: (646) 441-0897 | Omobola Abosede Petinrin, FNP
1225 Farr St,
Waller, TX 77484-8486
Ph: (936) 372-3003 |
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