Most Relevant Information
Provider Data
| NPI Number: | 1003529322 |
| Provider Name: | OLUWAYEMISI ABIMBOLA OGUNFEITIMI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 700605 |
Most Important Dates
| Enumeration Date: | 01/02/2023 |
| Last Updated: | 11/07/2023 |
Provider Practice Location
8546 BROADWAY # 35
SAN ANTONIO
TX
782176376
Practice Location Phone/Fax
| Phone: | 2109402764 |
| Fax: | 8302399930 |
Provider Mailing Location
8546 BROADWAY # 35
SAN ANTONIO
TX
782176376
Provider Mailing Phone/Fax
| Phone: | 2109402764 |
| Fax: | 8302399930 |