Individual
OMOLARA A OLAJIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1400 S MAIN ST STE 403, FORT WORTH, TX 76104
(817) 702-1395
(817) 702-3603
Mailing address
200 W MAGNOLIA AVE FL 2, FORT WORTH, TX 76104-7644
(817) 702-2977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6550
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
Q6550
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
01/10/2023
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