Adetona, Olutola O.

Adetona, Olutola O. is an individual health care provider with primary practice located at 9480 Huebner Rd Suite 400, San Antonio TX 78240-1655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Adetona, Olutola O. can be contacted via phone (210) 697-3900.

Contact Information

Primary practice address
9480 Huebner Rd Suite 400 San Antonio TX 78240-1655
Phone: (210) 697-3900
Fax: (210) 697-3904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X N1971 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 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 4th, 2011 - about 15 years ago

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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