NPI | 1881078285 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEKUNLE ADEDAYO ADEDEJI Owner/ Md 210-601-2367 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3416) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2025-06-05 |