Odetunde, Olufunke A

Odetunde, Olufunke A is an individual health care provider with primary practice located at 2515 Business Center Dr , Pearland TX 77584-2294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Odetunde, Olufunke A can be contacted via phone (713) 442-7200.

Contact Information

Primary practice address
2515 Business Center Dr Pearland TX 77584-2294
Phone: (713) 442-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K1595 Texas

Profile Details

NPI number 1154378958
LBN Legal business name Odetunde, Olufunke A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 29th, 2021 - about 5 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 1154378958 NPPES
Other 8AN558 BCBSTX
MEDICAID 130847010 BCBSTX
Other 8X8330 BCBSTX

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