| NPI | 1851647911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKUNLE ADEDEJI Owner/Provider 210-601-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207Q00000X Family Medicine (Licence: TX N3416) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2024-05-28 |