Individual
OLUSEGUN KEHINDE FADAIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3015 MISSION GATE, SAN ANTONIO, TX 78224-4445
(832) 235-7676
Mailing address
3015 MISSION GATE, SAN ANTONIO, TX 78224-4445
(832) 235-7676
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
08/19/2022
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