P Praxis·MD
● Active Type 1 · Individual

Modupe Olatunde

Nurse Practitioner·Grand Prairie, TX· NPI 1063059756 · Enumerated 2019 · 6 years on NPI
Olatunde is 1 of 68 nurse practitioner providers in Grand Prairie and 1 of 5095 in Texas.
NPI age
6 years
Enumerated 2019-12-02
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-12Enumerated in NPPES
2019 2026

Where they practice

Practice location
1020 S. Carrier Pwky
Grand Prairie, TX 75051
📞 2147431200
Mailing address
6039 Cedar Glen Dr
Grand Prairie, TX 750520409

Additional practice locations

1 secondary location on file with NPPES.

Location 2
6039 Cedar Glen Dr
Grand Prairie, TX 750520409
📞 8177337604

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP143862 taxonomy 363LP0808X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Grand Prairie in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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