Individual
OLUWATOBI GBADAMOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6941 LILAC DR, VENUS, TX 76084-3656
(443) 929-5355
Mailing address
6941 LILAC DR, VENUS, TX 76084-3656
(443) 929-5355
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
50583156
TX
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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