Individual
ADEWALE BAMIDELE OGUNOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-3104
(469) 233-6840
(817) 598-4799
Mailing address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(682) 803-3381
(817) 598-4799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1144717422
TX
207R00000X
Internal Medicine Physician
Primary
T0877
TX
208M00000X
Hospitalist Physician
T0877
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2018
Last updated
11/12/2024
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