Individual
OLUBUSAYO OBAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
9015 MOUNTAIN RIDGE DR STE 200, AUSTIN, TX 78759-7303
(512) 312-7552
(512) 714-4786
Mailing address
9015 MOUNTAIN RIDGE DR STE 200, AUSTIN, TX 78759-7303
(512) 312-7552
(512) 714-4786
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q5053
TX
207R00000X
Internal Medicine Physician
LP02257
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351537101
—
TX
05
—
351537102
—
TX
Enumeration date
05/20/2011
Last updated
09/22/2023
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