Olutayo Abidemi Sogunro, DO | |
1200 N Bedell Ave, Del Rio, TX 78840-4491 | |
(830) 768-9207 | |
Not Available |
Full Name | Olutayo Abidemi Sogunro |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 1200 N Bedell Ave, Del Rio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477827525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R2482 (Texas) | Secondary |
208600000X | Surgery | H94522 (Maryland) | Primary |
Entity Name | Val Verde Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
Entity Name | Amistad Medical Professionals |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912211913 PECOS PAC ID: 7719171545 Enrollment ID: O20101104001611 |
Mailing Address | Practice Location Address |
---|---|
Olutayo Abidemi Sogunro, DO 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423 | Olutayo Abidemi Sogunro, DO 1200 N Bedell Ave, Del Rio, TX 78840-4491 Ph: (830) 768-9207 |
Mark G Manning, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-774-2505 Fax: 830-774-2394 | |
Lisa Palacheck, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 N Bedell Ave, Del Rio, TX 78840 Phone: 830-768-9200 | |
Dr. Shamoon A Doctor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 612 N Bedell Ave, Ste A, Del Rio, TX 78840 Phone: 830-765-3153 |