Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ochuele Odumosu, MD

Individual provider Family Medicine Physician · NPI 1891079323

Dr. Ochuele Odumosu, MD is a Family Practice in Keller, Texas. Qualified in 2002, 24 years ago. Practices with Vine Family Medicine PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Johnson Rd Ste 304
Keller, TX 76248-3463
Phone: (817) 710-3040
Fax: (989) 200-4650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MT198875 (PA)

Record details

NPI number1891079323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2011
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Vine Family Medicine Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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