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Olubadewa Fatunde, MD
Cardiovascular Disease Physician in Longview, Texas
NPI 1174942643

Olubadewa Fatunde is a Cardiovascular Disease Physician based in Tyler, TX and is specialized in Cardiovascular Disease. Olubadewa Fatunde practices in Longview, TX and has the professional credentials of MD. The NPI Number for Olubadewa Fatunde is 1174942643 and holds a License No. BP10060986 (Texas).

The current practice location address for Olubadewa Fatunde is 700 E Marshall Ave, Longview, TX and can be reached out via phone at 903-877-7777.

Location: 700 E Marshall Ave, Longview, TX, 75708-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174942643
Provider Name
Olubadewa Fatunde
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
700 E Marshall Ave, Longview, TX, 75708-3154
Phone Number
903-877-7777
Fax Number
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5580
Phone Number
903-877-7777
Fax Number
person
Provider Business Mailing Address Details
Address
700 E Marshall Ave
City
Longview
State
Texas
Zip
75601-5580
Phone Number
903-877-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
60929 (Arizona)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10060986 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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