Individual
OLUSEGUN A OSENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FCCP
Contact information
Practice address
1200 CLEAR LAKE RD, WEATHERFORD, TX 76086-5891
(817) 594-9993
(817) 594-9915
Mailing address
1200 CLEAR LAKE RD, WEATHERFORD, TX 76086-5802
(817) 594-9993
(817) 594-9915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9836
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L9836
TX
207RP1001X
Pulmonary Disease Physician
054632
GA
207RP1001X
Pulmonary Disease Physician
Primary
L9836
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L9836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982699005
IND NPI
—
05
—
382862700A
—
GA
Enumeration date
09/14/2005
Last updated
02/05/2019
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