Individual
OLUWATOSIN FAKOREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6609 BLANCO RD, SAN ANTONIO, TX 78216-6152
(210) 940-2764
Mailing address
8415 HAMRICK CIR, SAN ANTONIO, TX 78252-2885
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1094804
TX
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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