Organization
FORT WORTH INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEBOLA SULAIMAN OLATUNJI MD (DIRECTOR)
(817) 386-9818
Entity
Organization
Contact information
Practice address
654 SAINT LOUIS AVE, FORT WORTH, TX 76104-3358
(817) 386-9818
Mailing address
654 SAINT LOUIS AVE, FORT WORTH, TX 76104-3358
(817) 386-9818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9833
TX
Other
Enumeration date
02/08/2007
Last updated
06/17/2015
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