Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Olasimbo Ifasewa Odutayo

Individual provider Family Nurse Practitioner · NPI 1376994566

Mrs. Olasimbo Ifasewa Odutayo is a Nurse Practitioner in Houston, Texas. Qualified in 2015, 11 years ago. Practices with The Harris Center for Mental Health and Idd, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

9401 SW Fwy
Houston, TX 77074-1407
Phone: (713) 970-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 308 Autumn Park, Fort Worth, TX 76140-6524 — (682) 552-3574

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP131147 (TX)

Record details

NPI number1376994566
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2016
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Harris Center For Mental Health And Idd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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