Individual ProviderOluwatobi Ayodele FaniyiStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street,Ms 9406 Ttuhsc Department Of Pediatrics, Lubbock, TX 79430(806) 743-1798PECOS EnrollmentBased on the most recent information from CMS, provider Oluwatobi Ayodele Faniyi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124810684Provider TypeIndividualFull NameFaniyi, Oluwatobi AyodeleTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/20/2025Last Updated5/20/2025Contact InformationPractice LocationPractice Address3601 4th Street,Ms 9406 Ttuhsc Department Of Pediatrics, Lubbock, TX 79430Phone(806) 743-1798FaxUnlisted FaxMailing LocationMailing Address3601 4th Street,Ms 9406 Ttuhsc Department Of Pediatrics, Lubbock, TX 79430Phone(806) 743-1798FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer