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Olugbeminiyi I Olubanjo, MD
Family Medicine Physician in Mansfield, Texas
NPI 1427274042

Olugbeminiyi I Olubanjo is a Family Medicine Physician based in Pittsburgh, TX. Olugbeminiyi I Olubanjo practices in Mansfield, TX and has the professional credentials of MD. The NPI Number for Olugbeminiyi I Olubanjo is 1427274042 and holds a License No. 11012909A (Texas).

The current practice location address for Olugbeminiyi I Olubanjo is 2901 E Broad St, Mansfield, TX and can be reached out via phone at 972-525-9900 and via fax at 469-333-7988.

Location: 2901 E Broad St, Mansfield, TX, 15251-6541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427274042
Provider Name
Olugbeminiyi I Olubanjo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2901 E Broad St, Mansfield, TX, 15251-6541
Phone Number
972-525-9900
Fax Number
469-333-7988
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8BQ006 01 TX BCBS
195929801 05 TX
P00703560 01 TX RAILROAD MEDICARE
11012909A 01 IN RESIDENCY PERMIT
institution
Provider Business Practice Location Address Details
Address
2901 E Broad St
City
Mansfield
State
Texas
Zip
76063-9147
Phone Number
972-525-9900
Fax Number
469-333-7988
person
Provider Business Mailing Address Details
Address
2901 E Broad St
City
Mansfield
State
Texas
Zip
76063-9147
Phone Number
972-525-9900
Fax Number
469-333-7988
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
N1033 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
11012909A (Indiana)
Definition
Definition to come...
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