Individual
DR. OLUSEGUN ADEWOLE OYENUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY STE 175, RICHARDSON, TX 75082-3551
(972) 941-3117
(844) 289-7691
Mailing address
3001 E PRESIDENT GEORGE BUSH HWY STE 175, RICHARDSON, TX 75082-3551
(972) 941-3117
(844) 289-7691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437667
PA
207RC0000X
Cardiovascular Disease Physician
036127256
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
Q5888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349940203
—
TX
05
—
349940204
—
TX
05
—
349940205
—
TX
Enumeration date
08/06/2007
Last updated
05/18/2023
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