ADEBOWALE ALAO ADEDEJI OWNER/CEO
NPI 1295102309
Clinic/Center - Health Service in Grand Prairie, TX
- Individual
- Male
- Clinic/Center
- Health Service
About ADEBOWALE ADEDEJI
This page provides the complete NPI Profile along with additional information for Adebowale Adedeji, a provider established in Grand Prairie, Texas with a medical specialization in Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1295102309 assigned on August 2015. The practitioner's primary taxonomy code is 261QH0100X with license number 261QH0100X (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1295102309 Verify this NPI
- Provider Name
- ADEBOWALE ALAO ADEDEJI OWNER/CEO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822 GRAND PRAIRIE, TX 75052
- Location Phone
- (214) 705-5047
- Mailing Address
- 2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822 GRAND PRAIRIE, TX 75052
- Mailing Phone
- (214) 705-5047
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2015
- Last Update Date
- 08-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- 261QH0100X
- License State
- TX
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GRAND PRAIRIE, TX 75052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295102309, enumerated as an "individual" on August 24, 2015.
The provider is located at 2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822 GRAND PRAIRIE, TX 75052 and the phone number is (214) 705-5047.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.