Ade Adeduntan
Preferred Provider Organization in Houston, TX. Organization (NPI-2).
NPI number1780056002
StatusActive
Last updated in NPPESOct 26, 2015
Details
- NPI
- 1780056002
- Entity type
- Organization (NPI-2)
- Legal business name
- Ade Adeduntan
- Organization subpart
- No
- Enumeration date
- Oct 26, 2015
- Last updated
- Oct 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | 2019839 | TX | Yes |
| 302R00000X | Health Maintenance Organization | 2019839 | TX |
Practice location
16103 April Ridge DrHouston, TX 77083-5255
Phone 832-818-1754
Mailing address
16103 April Ridge DrHouston, TX 77083
Phone 832-818-1754
Authorized official
Adewumi Adeduntan
Agent
8328181754
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