P Praxis·MD
● Active Type 1 · Individual

Modupe Oluwatoyin Idowu

Nurse Practitioner·Grand Prairie, TX· NPI 1104680255 · Enumerated 2024 · 2 years on NPI
Idowu is 1 of 68 nurse practitioner providers in Grand Prairie and 1 of 5095 in Texas.
NPI age
2 years
Enumerated 2024-02-09
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

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

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
1801 S Carrier Pkwy
Grand Prairie, TX 750513702
📞 9724330088fax 9727309801
Mailing address
7305 Aster Dr
Venus, TX 760843776
📞 1301806611

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1124176 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 7 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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