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

Individual provider Family Medicine Physician · NPI 1356654909

Oluwaseun 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 and Texas.

Years since qualifying
24
Licensed in
PA, TX
In the registry since
2010
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

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 R5786 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT197589 (PA)

Record details

NPI number1356654909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2010
Last updated in NPPESOctober 2, 2022
Certification dateOctober 2, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
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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