Healthcare Provider Details

I. General information

NPI: 1396852612
Provider Name (Legal Business Name): ANU F. OGUNLARI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 WHEATFIELD DR SUITE 270
SUNNYVALE TX
75182-4638
US

IV. Provider business mailing address

341 WHEATFIELD DR SUITE 270
SUNNYVALE TX
75182-4638
US

V. Phone/Fax

Practice location:
  • Phone: 972-216-5800
  • Fax: 972-216-5801
Mailing address:
  • Phone: 972-216-5800
  • Fax: 972-216-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberK9957
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: