Most Relevant Information
Provider Data
| NPI Number: | 1003592510 |
| Provider Name: | OREDUNNI OGUNTODU |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 1114727 |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
109 GARDEN GROVE LN
RED OAK
TX
751540163
Practice Location Phone/Fax
| Phone: | 8173230900 |
| Fax: |
Provider Mailing Location
4301 WATERFORD GLEN DR
MANSFIELD
TX
760639104
Provider Mailing Phone/Fax
| Phone: | 2149034783 |
| Fax: |