| Dr O Medical | |
|
1202 E Sonterra Blvd Suite 302 San Antonio TX 78258 | |
| (210) 853-2790 | |
| (210) 314-6293 |
| Full Name | Dr O Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 1202 E Sonterra Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Tinuade Olusegun-gbadehan (PHYSICIAN) |
| Authorized Official Contact | 2108532790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr O Medical 1202 E Sonterra Blvd Suite 302 San Antonio TX 78258 Ph: (210) 853-2790 | Dr O Medical 1202 E Sonterra Blvd Suite 302 San Antonio TX 78258 Ph: (210) 853-2790 |
| NPI Number | 1609132992 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609132992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | N3663 (Texas) | Secondary |
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