P Praxis·MD
● Active Type 1 · Individual

Oluwatosin B Ajibola

Nurse Practitioner·Grand Prairie, TX· NPI 1063230464 · Enumerated 2024 · 1 years on NPI
Ajibola is 1 of 81 nurse practitioner providers in Grand Prairie and 1 of 22123 in Texas.
NPI age
1 years
Enumerated 2024-10-03
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Practice location
4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 750523000
📞 9722174203
Mailing address
4927 Lake Ridge Pkwy Ste 148
Grand Prairie, TX 750523000
📞 9722174203

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1177043 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 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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