Oluwadare Samson Kolurejo, is a
Physical Therapist based in Fresno, Texas. Oluwadare Samson Kolurejo is licensed to practice in Texas (license number 1351279) and his current practice location is
2210 Rustic Chapel Ct, Fresno, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 759-4200.
NPI number for Oluwadare Samson Kolurejo is 1083298988 and his current mailing address is 2210 Rustic Chapel Ct, Fresno, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083298988.
Healthcare Provider's Profile
| Full Name | Oluwadare Samson Kolurejo |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 2210 Rustic Chapel Ct, Fresno, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083298988
- Provider Enumeration Date: 05/07/2021
- Last Update Date: 03/27/2023
Medical Identifiers
Medical identifiers for Oluwadare Samson Kolurejo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083298988 | NPI | - | NPPES |
| 43674520 | Other | TX | TEXAS ID |
| 43674520 | Other | TX | DRIVER LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1351279 (Texas) | Primary |
| 225200000X | Physical Therapy Assistant | 2161394 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Oluwadare Samson Kolurejo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Oluwadare Samson Kolurejo,
2210 Rustic Chapel Ct,
Fresno, TX 77545-2211
Ph: (832) 759-4200 | Oluwadare Samson Kolurejo,
2210 Rustic Chapel Ct,
Fresno, TX 77545-2211
Ph: (832) 759-4200 |
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