Individual
DR. BABAJIDE ADENIYI OGUNLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
4502 RIVERSTONE BLVD, STE 1403, MISSOURI CITY, TX 77459-5206
(281) 778-5560
(281) 677-4145
Mailing address
4502 RIVERSTONE BLVD STE 1403, MISSOURI CITY, TX 77459-5206
(281) 778-5560
(281) 677-4145
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1699
TX
213ER0200X
Radiology Podiatrist
1699
TX
213ES0000X
Sports Medicine Podiatrist
1699
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1699
TX
213ES0131X
Foot Surgery Podiatrist
1699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074ME
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/12/2005
Last updated
11/18/2024
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