Active NPI
Victor O.a. Ogunlana MD PA
- Pediatrics Physician
- Mission, TX
National Provider Identifier
1942489943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L0467
- Legal business name
- VICTOR O.A. OGUNLANA MD PA
- Practice address
- 2408 N Conway Ave
Mission, TX 78574-2347 - Phone
- (956) 519-2800
- Fax
- (956) 519-9424
- NPI assigned
- Oct 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victor O.a. Ogunlana, M.D.
- Title
- President
- Phone
- (956) 519-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L0467 | TX | Primary |
Addresses
Primary practice location
2408 N Conway Ave
Mission, TX 78574-2347
Mailing address
PO Box 3239
Mission, TX 78573-0055
Phone (956) 519-2800
Other names 1
- shalom pediatrics
National Provider Directory
National Provider DirectoryLocations
2116 W Griffin Pkwy
Ste B
Palmview, TX 78572
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Mission, TX
- NPI 1962423798
-
- Pediatrics Physician
- Mission, TX
- NPI 1114068566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193356800000",
"number": "1942489943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "MISSION",
"state": "TX",
"postal_code": "785730055",
"telephone_number": "956-519-2800",
"fax_number": "956-519-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785742347",
"telephone_number": "956-519-2800",
"fax_number": "956-519-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR O.A. OGUNLANA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A",
"authorized_official_last_name": "OGUNLANA",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "O.A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-519-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "L0467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "shalom pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.