Organization
FOUNDATION FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADOTUN OLUSHOLA AKINMURELE MD (CEO)
(817) 704-3345
Entity
Organization
Contact information
Practice address
3120 CAPITAL WAY UNIT 602, FORT WORTH, TX 76177-4305
(714) 704-3345
(714) 704-3463
Mailing address
3120 CAPITAL WAY UNIT 602, FORT WORTH, TX 76177-4305
(817) 704-3345
(817) 704-3463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/03/2024
Last updated
12/06/2024
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