Provider Demographics
NPI:1588167654
Name:WELLINGTON ANESTHESIOLOGY CONSULTANTS PLLC
Entity type:Organization
Organization Name:WELLINGTON ANESTHESIOLOGY CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:O
Authorized Official - Last Name:OYEDIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PHARMD
Authorized Official - Phone:281-948-5120
Mailing Address - Street 1:1401 OZARK AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2624
Mailing Address - Country:US
Mailing Address - Phone:281-948-5120
Mailing Address - Fax:
Practice Address - Street 1:1401 OZARK AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2624
Practice Address - Country:US
Practice Address - Phone:281-948-5120
Practice Address - Fax:877-773-9276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty