Provider Demographics
NPI:1649732983
Name:OWOLABI, THOMAS ADEKUNLE JR (DPM)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ADEKUNLE
Last Name:OWOLABI
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:2205 WILLIAMS TRACE BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4443
Mailing Address - Country:US
Mailing Address - Phone:832-515-9249
Mailing Address - Fax:713-583-2372
Practice Address - Street 1:2205 WILLIAMS TRACE BLVD STE 106
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4443
Practice Address - Country:US
Practice Address - Phone:832-515-9249
Practice Address - Fax:713-583-2372
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3135213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery