OMOBOLA A. PETINRIN FNP – NPI #1669986196
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

OMOBOLA PETINRIN is a physician located in WALLER, TX. NPPES has assigned the NPI number 1669986196 to OMOBOLA PETINRIN on November 20, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jan 08, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OMOBOLA PETINRIN below.

NPI Profile for
OMOBOLA A. PETINRIN

NPI Number
1669986196
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
OMOBOLA A. PETINRIN
Credentials
FNP
Primary location
1225 FARR ST
WALLER, TX 77484-8486
Phone: (936) 372-3003 Fax: (936) 372-8070
Mailing address
12822 SHADOW CANYON LN
PEARLAND, TX 77584-3640
Phone: (646) 441-0897 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TX AP134723

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.