Individual provider · Type 1 NPI
Yetunde O. Balogun, MD
Vascular Surgery Physician · Longview, TX
NPI number
1306129713
Active
Practice location
705 E Marshall Ave Ste 5001
Longview, TX 75601-5524
Mailing address
3401 N Broad St
Philadelphia, PA 19140-5103
Other practice locations
- 707 E Marshall Ave, Longview, TX 75601-5545 · (903) 315-5400
- 3401 N Broad St, Philadelphia, PA 19140-5103 · (267) 294-9265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | V8935 (TX) |
| Surgery Physician | 208600000X | MT200039 (PA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
About NPI 1306129713
Yetunde O. Balogun, MD's National Provider Identifier is 1306129713, issued on Sep 21, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Longview, TX. The record was last updated on Aug 28, 2026.