Individual
DR. OLUTOLA O. ADETONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 245-0973
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 245-0973
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
N1971
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
N1971
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
N1971
TX
208000000X
Pediatrics Physician
N1971
TX
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
N1971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194042103
—
TX
01
—
8CA599
BCBS
TX
Enumeration date
07/31/2008
Last updated
05/27/2025
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