Individual
DR. DOLAMU OLUMIDE BAMIDELE SOKUNBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
626 RUSSELL BLVD, SUITE B, NACOGDOCHES, TX 75965-1246
(936) 552-7216
(936) 552-7274
Mailing address
626 RUSSELL BLVD, SUITE B, NACOGDOCHES, TX 75965-1246
(936) 552-7216
(936) 552-7274
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J7203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073BK
BCBS
TX
05
—
113679803
—
TX
Enumeration date
02/27/2006
Last updated
08/23/2023
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