| Ayorinde Olatokunbo Ogunbameru, MD | |
|
1301 Solana Blvd Ste 2200, Roanoke, TX 76262-1769 | |
| (817) 693-5486 | |
| (817) 717-6569 |
| Full Name | Ayorinde Olatokunbo Ogunbameru |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1301 Solana Blvd Ste 2200, Roanoke, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134416522 | NPI | - | NPPES |
| 003147778A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | T1500 (Texas) | Primary |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | Georgia Hospitalists Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Ayorinde Olatokunbo Ogunbameru, MD 1301 Solana Blvd Ste 2200, Roanoke, TX 76262-1769 Ph: (817) 693-5486 | Ayorinde Olatokunbo Ogunbameru, MD 1301 Solana Blvd Ste 2200, Roanoke, TX 76262-1769 Ph: (817) 693-5486 |
Dr. Linda Alic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Dover Ln, Roanoke, TX 76262 Phone: 815-353-3900 | |
Dr. Zachary Wade Marshall, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N Oak St Unit B, Roanoke, TX 76262 Phone: 682-593-9355 Fax: 608-713-8024 |