ADEBOWALE ALAO ADEDEJI OWNER/CEO
NPI 1295102309
Clinic/Center - Health Service in Grand Prairie, TX

Active since August 24, 2015
2613 HAWCO DR APT 1822, 2613 HAWCO DR APT 1822, GRAND PRAIRIE, TX 75052(214) 705-5047 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Non-emergency Medical Transport (VAN)
2613 HAWCO DR APT 1822
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.