Provider Demographics
NPI:1457524183
Name:OSOWO, TOLULOPE OLUWASEYI (MD)
Entity Type:Individual
Prefix:DR
First Name:TOLULOPE
Middle Name:OLUWASEYI
Last Name:OSOWO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TOLULOPE
Other - Middle Name:OLUWASEYI
Other - Last Name:OSIDIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7950 FLOYD CURL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3919
Mailing Address - Country:US
Mailing Address - Phone:210-615-6505
Mailing Address - Fax:210-615-1321
Practice Address - Street 1:7950 FLOYD CURL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3919
Practice Address - Country:US
Practice Address - Phone:210-615-6505
Practice Address - Fax:210-615-1321
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8892207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194583401Medicaid
TX8K8599OtherMEDICARE