Organization
OLADAYO A SANUSI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLADAYO A SANUSI MD (MEDICAL DIRECTOR)
(956) 364-0200
Entity
Organization
Contact information
Practice address
400 W US HIGHWAY 77, SAN BENITO, TX 78586-5148
(956) 364-0200
(956) 364-0206
Mailing address
400 W US HIGHWAY 77, SAN BENITO, TX 78586-5148
(956) 364-0200
(956) 364-0206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1800591
—
TX
Enumeration date
09/20/2006
Last updated
01/28/2019
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