Individual
DR. BABATUNDE O. KOMOLAFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 E BROAD ST STE 204, MANSFIELD, TX 76063-6411
(817) 752-5242
(817) 752-5232
Mailing address
2800 E BROAD ST STE 204, MANSFIELD, TX 76063-6411
(817) 752-5242
(817) 752-5232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33580
AL
207RI0011X
Interventional Cardiology Physician
Primary
Q0486
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165521
—
AL
05
—
407447803
—
TX
Enumeration date
05/21/2007
Last updated
01/24/2022
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