Individual
DR. OLUWASEUN BASIT OGUNBONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
T1797
TX
207ZP0101X
Anatomic Pathology Physician
T1797
TX
Other
Enumeration date
04/06/2018
Last updated
09/12/2024
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