Doctor profile · Federal record
Dr. Kofoworola Ohiomoba
Pediatrics Physician · Austin, TX
- NPI 1700101359
- 16 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
11714 Wilson Parke Ave Ste 150
Austin, TX 787264061
(512) 346-6611
fax (512) 406-6267 - Mailing address
-
6210 E Hwy 290
Austin, TX 787231142
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- January 22, 2024
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Texas #R8067
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700101359. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, Inc. | 1 | $19.98 |
By nature of payment
Frequently asked questions
What is Dr. Kofoworola Ohiomoba's medical specialty?
Dr. Kofoworola Ohiomoba practices Pediatrics Physician in Austin, TX.
Where does Dr. Kofoworola Ohiomoba practice?
Dr. Kofoworola Ohiomoba practices at 11714 Wilson Parke Ave Ste 150, Austin, TX 787264061. Office phone: 5123466611.
What is Dr. Kofoworola Ohiomoba's NPI?
Dr. Kofoworola Ohiomoba's National Provider Identifier (NPI) is 1700101359, issued by NPPES.