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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164688966 | NPPES |
Texas | Other | 8CA599 | BCBS |
Texas | MEDICAID | 194042103 | BCBS |
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