Oluwaseun Odumosu, MD | |
420 Johnson Rd Ste 304, Keller, TX 76248-3463 | |
(817) 710-3040 | |
(989) 200-4650 |
Full Name | Oluwaseun Odumosu |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 420 Johnson Rd Ste 304, Keller, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356654909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R5786 (Texas) | Primary |
207Q00000X | Family Medicine | MT197589 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vine Family Medicine Pllc | 9537563416 | 2 |
Entity Name | Texas Health Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
Entity Name | Vine Family Medicine Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407427420 PECOS PAC ID: 9537563416 Enrollment ID: O20210816000324 |
Mailing Address | Practice Location Address |
---|---|
Oluwaseun Odumosu, MD 420 Johnson Rd Ste 304, Keller, TX 76248-3463 Ph: (817) 710-3040 | Oluwaseun Odumosu, MD 420 Johnson Rd Ste 304, Keller, TX 76248-3463 Ph: (817) 710-3040 |
Pamela Brooke Martin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-753-7300 Fax: 817-431-0367 | |
Lori Ann Neill Faglie, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 Quest Ct, Keller, TX 76248 Phone: 817-431-9199 Fax: 833-973-3672 | |
James A Taki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Main St, Suite 240, Keller, TX 76248 Phone: 817-912-8150 Fax: 817-912-8160 | |
Dr. Tommy Brent Duncan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3529 Heritage Trace Pkwy, Ste 137, Keller, TX 76248 Phone: 817-741-7960 Fax: 817-741-7582 | |
Dr. Anna G White, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 S Main St, Keller, TX 76248 Phone: 817-431-2800 | |
Roger L Tolar Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 170, Keller, TX 76248 Phone: 817-741-2001 Fax: 817-741-2015 | |
Dr. Shital Manohar Rana, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Heritage Trace Pkwy, Suite 312, Keller, TX 76244 Phone: 817-741-7353 Fax: 817-741-7501 |