ADISA A TIJANI

DALLAS, TX
NPI1700054665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: TX  0066978)
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- ADISA A TIJANI
9319 LBJ FWY STE 208G
DALLAS, TX 75243-3450
Phone number: 214-575-0666
Mailing Address
-- ADISA A TIJANI
PO BOX 741411
DALLAS, TX 75374-1411
Phone number: