MEDICARE: OLUWATUMININU AKINTONWA

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	208600000X	Surgery Physician	W6566	TX

General Provider Information

NPI Number	:	1073140844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLUWATUMININU AKINTONWA

Provider Business Mailing Address
First Line	:	6431 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 WEST LOOP S STE 200E
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3535
Country	:	US
Telephone Number	:	305-585-1111
Fax Number	:

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

Provider Enumeration Date	:	03/23/2020
Last Update Date	:	06/03/2026

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