Olawale Olabiyi, | |
11485 Toepperwein Rd Ste 2, Live Oak, TX 78233-3144 | |
(210) 372-7238 | |
Not Available |
Full Name | Olawale Olabiyi |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 11485 Toepperwein Rd Ste 2, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861666547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | P1575 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
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Olawale Olabiyi, 11485 Toepperwein Rd Ste 2, Live Oak, TX 78233-3144 Ph: (210) 655-4278 | Olawale Olabiyi, 11485 Toepperwein Rd Ste 2, Live Oak, TX 78233-3144 Ph: (210) 372-7238 |
Nadine Liu, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11901 Toepperwein Rd, Suite 1402, Live Oak, TX 78233 Phone: 210-599-3840 Fax: 210-599-1713 | |
Samantha Kichena, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11515 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-560-4500 Fax: 210-504-2388 | |
Mr. Jesus Luis Rodriguez Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12602 Toepperwein Rd Ste 104, Live Oak, TX 78233 Phone: 210-599-6251 Fax: 210-599-6254 |