Amudipe, Olubukola Tokunbo
Amudipe, Olubukola Tokunbo is an individual health care provider with primary practice located at 5701 Bryant Irvin Rd Ste 201 , Fort Worth TX 76132-4026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Amudipe, Olubukola Tokunbo can be contacted via phone (817) 263-2500.Contact Information
Primary practice address
5701 Bryant Irvin Rd Ste 201
Fort Worth TX 76132-4026
Phone: (817) 263-2500
Fax: (817) 346-4006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D65267 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q8005 | Texas |
Profile Details
| NPI number | 1346366333 |
|---|---|
| LBN Legal business name | Amudipe, Olubukola Tokunbo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346366333 | NPPES |
| Texas | MEDICAID | 363252301 |
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