Individual
DR. OLUSOLA ELIZABETH BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
(817) 496-9889
Mailing address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
(817) 496-9889
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.137470
IL
207P00000X
Emergency Medicine Physician
Primary
Q6392
TX
Other
Enumeration date
06/26/2012
Last updated
12/08/2023
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