Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moriam Omobolade Adeyinka, PA-C

Individual provider Physician Assistant · NPI 1114712361

Moriam Omobolade Adeyinka, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2025, 1 year ago. Practices with UT Physicians, a 1,732-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6411 Fannin St
Houston, TX 77030-1501
Phone: (713) 500-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10447 Bailey Rd Ste 170, Manvel, TX 77578-0109 — (281) 692-9770

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19196 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA19196 (TX)

Record details

NPI number1114712361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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