Organization Active NPI

Victor O.a. Ogunlana MD PA

  • Pediatrics Physician
  • Mission, TX
National Provider Identifier
1942489943
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0467 Issued in TX
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

Updated by the provider on Oct 26, 2007

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.NPI 1962423798
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.