Individual
DR. OLUYEMISI AKINTUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
126 MEDICAL DR. SUITE A, PALESTINE, TX 75801
(903) 729-2428
(903) 723-7653
Mailing address
126 MEDICAL DR. SUITE A, PALESTINE, TX 75801
(903) 729-2428
(903) 723-7653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01070235A
IN
208000000X
Pediatrics Physician
27348
SC
208000000X
Pediatrics Physician
Primary
R3631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000844178
ANTHEM
IN
05
—
201051670
—
IN
05
—
3742702-01
—
TX
Enumeration date
07/14/2006
Last updated
07/22/2019
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