Jadesola I Omoyeni
Gastroenterologist
1804 Ne Loop 410 Ste 101
San Antonio
, Texas 78217-5211
Jadesola I Omoyeni
Gastroenterologist
1804 Ne Loop 410 Ste 101
San Antonio
, Texas 78217-5211
(210) 614-1234
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Jadesola I Omoyeni
- 1804 Ne Loop 410 Ste 101
- San Antonio, TX
- Zip : 78217-5211
- Phone : (210) 614-1234
Second Address
- Jadesola I Omoyeni
- 1804 Ne Loop 410 Ste 101
- San Antonio, TX
- Zip : 78217-5211
- Phone : (210) 614-1234
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Is Jadesola I Omoyeni a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | R6776 | TX |
National Provider Identifier
| NPI | 1043567423 |
|---|---|
| Provider Name | Jadesola I Omoyeni |
| First Address | San Antonio, TX 78217-5211 |
| Second Address | San Antonio, TX 78217-5211 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2012 |
| Last Update Date | 07/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 385652801 | (05) | TX |
| 385652802 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.