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NPI 1760075667
● Active Type 2 · Organization
Adeline Memorial Medical Group Pllc
Nurse Practitioner · Rosenberg, TX · NPI 1760075667
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Enumerated 2021 · 5 years on NPI
Adeline Memorial Medical Group Pllc is 1 of 22123 nurse practitioner organizations in Texas.
NPI age
5 years
Enumerated 2021-02-11
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Odutayo
Provider
Last NPPES update
2025-08-06
Source: monthly bulk 2026-05
How this organization compares
Across 22123 active nurse practitioner providers in Texas.
NPI age
5 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-02 Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
3200 Avenue I
Rosenberg, TX 774713630
📞 8323443650
Mailing address
3200 Avenue I
Rosenberg, TX 774713630
📞 8323443650
Additional practice locations
1 secondary location on file with NPPES.
Location 2
6515 Corporate Dr Ste D1
Houston, TX 770363426
📞 7139815166 fax 7139815288
Authorized official
Funmilola O Odutayo, FNP
Provider
📞 8323443650
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Nurse Practitioner
Primary
Definition to come...
taxonomy 363LF0000X
Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
taxonomy 208000000X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.