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OMOBOLAJI OLUTIMEHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5000
(713) 566-4463
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
L9400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167278401
TX
01
8P2790
BCBSTX
TX
Enumeration date
07/05/2006
Last updated
08/19/2016
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