Provider Demographics
NPI:1316696271
Name:OLABAMIJI, SHIELD OLUBUNMI
Entity type:Individual
Prefix:MS
First Name:SHIELD
Middle Name:OLUBUNMI
Last Name:OLABAMIJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W ARBROOK BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3105
Mailing Address - Country:US
Mailing Address - Phone:817-652-9192
Mailing Address - Fax:
Practice Address - Street 1:300 W ARBROOK BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3105
Practice Address - Country:US
Practice Address - Phone:817-652-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV9683208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics