Provider Demographics
NPI:1417307380
Name:POPOOLA, FEMI (MD)
Entity type:Individual
Prefix:DR
First Name:FEMI
Middle Name:
Last Name:POPOOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 NE LOOP 410 STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6600
Mailing Address - Country:US
Mailing Address - Phone:210-868-5801
Mailing Address - Fax:
Practice Address - Street 1:2411 NE LOOP 410 STE 114
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6600
Practice Address - Country:US
Practice Address - Phone:210-868-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20190245742084P0800X
MO20160164062084P0800X
TXT03172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry