Adebowale Alao Adedeji, OWNER/CEO Valid NPI
Individual provider · Health Service Clinic/Center · Grand Prairie, TX
- NPI
- 1295102309
- Type
- Individual (Type 1)
- Primary specialty
- Health Service Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QH0100X
- License number
- 261QH0100X (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-08-24
- Last updated
- 2015-08-24
Practice location
2613 Hawco Dr Apt 1822, 2613 Hawco Dr Apt 1822
Grand Prairie, TX 75052-7668
(214) 705-5047