Ola-Peters, Tomi Omolara

Ola-Peters, Tomi Omolara is an individual health care provider with primary practice located at 2700 E Broad St , Mansfield TX 76063-5899. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ola-Peters, Tomi Omolara can be contacted via phone (817) 702-1100.

Contact Information

Primary practice address
2700 E Broad St Mansfield TX 76063-5899
Phone: (817) 702-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10044204 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q3257 Texas

Profile Details

NPI number 1760737142
LBN Legal business name Ola-Peters, Tomi Omolara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2012
Last updated Feb 18th, 2022 - about 4 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 1760737142 NPPES
Texas Other 8FM194 BCBS
Texas MEDICAID 345477902 BCBS
Texas Other P01599389 BCBS

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