Healthcare Provider Details

I. General information

NPI: 1366468241
Provider Name (Legal Business Name): OLUYEMISI OLUTOYIN AKINTUNDE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10010 ROGERS XING STE 100
SAN ANTONIO TX
78251-4766
US

IV. Provider business mailing address

10010 ROGERS XING STE 100
SAN ANTONIO TX
78251-4766
US

V. Phone/Fax

Practice location:
  • Phone: 210-539-0931
  • Fax:
Mailing address:
  • Phone: 210-539-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27348
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR3631
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01070235A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: