Adetona, Olutola O.

Adetona, Olutola O. is an individual health care provider with primary practice located at 19141 Stone Oak Pkwy Ste 104 , San Antonio TX 78258-3367. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Adetona, Olutola O. can be contacted via phone (210) 245-0973.

Contact Information

Primary practice address
19141 Stone Oak Pkwy Ste 104 San Antonio TX 78258-3367
Phone: (210) 245-0973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X N1971 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X N1971 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N1971 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X N1971 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X N1971 Texas

Profile Details

NPI number 1164688966
LBN Legal business name Adetona, Olutola O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated May 27th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164688966 NPPES
Texas Other 8CA599 BCBS
Texas MEDICAID 194042103 BCBS

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