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NPI 1760075667

OrganizationActive

Adeline Memorial Medical Group PLLC

NPI 1760075667 · Family Nurse Practitioner · Rosenberg, TX

Provider details

NPI number: 1760075667
Entity type: Organization
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Funmilola Odutayo, Provider(832) 344-3650

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians

Practice location

3200 Avenue I

Rosenberg, TX 77471-3630

Phone: (832) 344-3650

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

3200 Avenue I

Rosenberg, TX 77471-3630

Additional practice locations (1)

6515 Corporate Dr Ste D1
Houston, TX 77036-3426
Phone: (713) 981-5166
Fax: (713) 981-5288

Registry dates

Enumerated: 2021-02-11
Last updated: 2025-08-06
Certified: 2025-08-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adeline Memorial Medical Group PLLC — NPI 1760075667, Rosenberg, TX | NPI Central