MEDICARE: DR. BABATUNDE I DOSU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	K5093	TX
2	208000000X	Pediatrics Physician	K5903	TX
3	208000000X	Pediatrics Physician	K5093	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225061104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BABATUNDE I DOSU MD

Provider Business Mailing Address
First Line	:	6905 DAVIS BLVD
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4003
Country	:	US
Telephone Number	:	817-922-0800
Fax Number	:	817-922-0805

Provider Business Practice Location Address
First Line	:	6905 DAVIS BLVD
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-4003
Country	:	US
Telephone Number	:	817-922-0800
Fax Number	:	817-922-0805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/10/2025

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