Individual provider · Type 1 NPI

Stephanie Abimbola Olawaiye Wilderness, PA-C

Medical Physician Assistant · Houston, TX

NPI number 1871054833 Active

Practice location

6621 Fannin St
Houston, TX 77030-2399

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA12712 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1871054833

Stephanie Abimbola Olawaiye Wilderness, PA-C's National Provider Identifier is 1871054833, issued on Mar 30, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Sep 10, 2022.