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

Individual provider Emergency Medicine Physician · NPI 1649534405

Dr. Olusola Elizabeth Balogun, MD is an Emergency Medicine in Fort Worth, Texas. Qualified in 2012, 14 years ago. Practices with Texas Medicine Resources, LLP, a 250-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
14
Licensed in
IL, TX
In the registry since
2012
Specialties on file
2
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

6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200
Phone: (817) 496-9700
Fax: (817) 496-9889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence Q6392 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.137470 (IL)

Record details

NPI number1649534405
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Texas Medicine Resources, Llp — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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