Olubanjo, Olugbeminiyi I
Olubanjo, Olugbeminiyi I is an individual health care provider with primary practice located at 2901 E Broad St , Mansfield TX 76063-9147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Olubanjo, Olugbeminiyi I can be contacted via phone (972) 525-9900.Contact Information
Primary practice address
2901 E Broad St
Mansfield TX 76063-9147
Phone: (972) 525-9900
Fax: (469) 333-7988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 11012909A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N1033 | Texas |
Profile Details
| NPI number | 1427274042 |
|---|---|
| LBN Legal business name | Olubanjo, Olugbeminiyi I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jan 27th, 2023 - about last year |
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 | 1427274042 | NPPES |
| Texas | Other | 8BQ006 | BCBS |
| Texas | MEDICAID | 195929801 | BCBS |
| Texas | Other | P00703560 | BCBS |
| Texas | Other | 11012909A | BCBS |
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