Individual
TOSIN ODUWUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6755 WAYMAN RDG, SAN ANTONIO, TX 78233-5471
(646) 796-1800
Mailing address
6755 WAYMAN RDG, SAN ANTONIO, TX 78233-5471
(646) 796-1800
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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