Individual
DR. ADEBOLA SULAIMAN OLATUNJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
654 SAINT LOUIS AVE, FORT WORTH, TX 76104-3358
(817) 386-9818
(817) 386-9821
Mailing address
650 SAINT LOUIS AVE, FORT WORTH, TX 76104-3346
(817) 386-9818
(817) 386-9821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167928402
—
TX
Enumeration date
04/26/2006
Last updated
01/31/2022
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