Individual
DR. AYOMIDE OYINDAMOLA OSIBANJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4372 DULLES DR APT 7209, FORT WORTH, TX 76155-3533
(901) 692-8350
Mailing address
4372 DULLES DR APT 7209, FORT WORTH, TX 76155-3533
(901) 692-8350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10393T
TX
Other
Enumeration date
06/02/2022
Last updated
06/21/2022
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