Individual provider · Type 1 NPI

Olusola Elizabeth Balogun, MD

Emergency Medicine Physician · Fort Worth, TX

NPI number 1649534405 Active

Practice location

4055 International Plz Ste 230
Fort Worth, TX 76109-4874

Fax (817) 496-9889

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XQ6392 (TX)
Emergency Medicine Physician 207P00000X036.137470 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1649534405

Olusola Elizabeth Balogun, MD's National Provider Identifier is 1649534405, issued on Jun 26, 2012. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 15, 2026.