Mfonobong I Okubadejo, M.D.
Anesthesiology, Pain Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1376996249
StatusActive
Last updated in NPPESMar 9, 2022
Details
- NPI
- 1376996249
- Entity type
- Individual (NPI-1)
- Name
- Mfonobong I Okubadejo
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2016
- Certification date
- Mar 9, 2022
- Last updated
- Mar 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | S9575 | TX | Yes |
| 207L00000X | Anesthesiology | S9575 | TX |
Practice location
5282 Medical Dr Ste 180San Antonio, TX 78229-5384
Phone 210-450-9850 · Fax 210-450-6095
Mailing address
5282 Medical Dr Ste 180San Antonio, TX 78229-5384
Phone 210-450-9850 · Fax 210-450-6095
Other practice locations
4502 Medical Dr
San Antonio, TX 78229-4402
San Antonio, TX 78229-4402
Phone 210-567-4500 · Fax 210-567-0083
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