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Oluwafunto Fashanu is one of 12 family medicine physicians practicing in Llano, Texas .
Oluwafunto Fashanu practices with Concord Medical Group Of Texas PLLC.
Registry record (NPPES)
NPI
1023509940
Type
Type 1 · Individual
Primary taxonomy
Hospitalist · 208M00000X
Address on file
612 S 12th St Fort Smith, AR 72901-4702 (479) 785-2431
Enumerated
May 25, 2018
Record last updated
Sep 22, 2026
License states listed
AR, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AR, TXFamily Practice
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
200 W Ollie St
Llano , TX 78643
(325) 247-5040
More family medicine physicians in Llano
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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