Dro MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DRO MD, PA

Doing business as

Dr O Medical

Practice address

1202 E Sonterra Blvd
Suite 302
San Antonio, TX 78258

Phone

(210) 853-2790

Fax

(210) 314-6293

NPI assigned

Apr 11, 2012

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tinuade Olusegun-Gbadehan, M.D.

Title

Physician

Phone

(210) 853-2790

Specialties & licenses 2

Addresses

Other names 1

• Dr O Medical Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1609132992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD",
            "address_2": "SUITE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-853-2790",
            "fax_number": "210-314-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E SONTERRA BLVD",
            "address_2": "SUITE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-853-2790",
            "fax_number": "210-314-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "OLUSEGUN-GBADEHAN",
        "authorized_official_first_name": "TINUADE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-853-2790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N3663",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr O Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malvin Coleman Driver Jr., M.D.
• Maria Chavira Driver
• Sally Ann Driver, LMFT, LPC
• Driving Solutions for Disabilities, LLC
• Driving Solutions for Disabilities, LLC
• Mark Drogin, MD
• Tere L Drogin, M.D.
• Drophed Group LLC
• April Drosche
• Catherine A Drouillard, LCSW

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.