Individual
DR. BABAJIDE OLATOKUNBO OLUTIMEHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-7878
Mailing address
3706 QUIET FALLS DR., MANVEL, TX 77578-4967
(832) 209-6165
(281) 692-1108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01064472A
IN
207Q00000X
Family Medicine Physician
Primary
N1034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197628401
—
TX
01
—
8BC553
BCBS
TX
Enumeration date
04/07/2008
Last updated
01/29/2009
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