Bankole O Osuntokun, MD Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Fort Worth, TX

NPI

1528096658

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

M3678 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-29

Last updated

2021-05-03