Look up the most recent NPI and PECOS records

Oluwatosin Omole

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

Based on the most recent information from CMS, provider Oluwatosin Omole is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518384619
Provider Type
Individual
Full Name
Omole, Oluwatosin
Credential
M.D, MPH

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2014
Last Updated
7/19/2017

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-3441

(210) 358-5944

Mailing Location

P.O. Box 87, San Antonio, TX 78207

(210) 358-9172

(210) 358-9183

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License R3169 Texas

Oluwatosin Omole

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cervantes, Jimena

Moscrip, Cordelia A

Dawy, Fehima

Del Rosario, Albelyh Sergia Pugoy

Arocha, Adriana E

Mumtaz, Mehnaz

Sugiyama, Tad Kiyoshi

Buena Vista Family Practice, P.A.

Guzman, Alfonso

Coston, Matthew Jason