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Individual

DR. OLATUNDE IBIYEMI FALAIYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 640-4000
Mailing address
506 LENOX AVE # MLK11101, NEW YORK, NY 10037-1889
(212) 939-2976

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01094100A
IN
207P00000X
Emergency Medicine Physician
Primary
BP10085116
TX
207Q00000X
Family Medicine Physician
D0095011
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2019
Last updated
12/12/2024
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