Individual provider · Type 1 NPI
Adebowale Alao Adedeji, OWNER/CEO
Health Service Clinic/Center · Grand Prairie, TX
NPI number
1295102309
Active
Practice location
2613 Hawco Dr Apt 1822, 2613 Hawco Dr Apt 1822
Grand Prairie, TX 75052-7668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 261QH0100X (TX) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
About NPI 1295102309
Adebowale Alao Adedeji, OWNER/CEO's National Provider Identifier is 1295102309, issued on Aug 24, 2015. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Grand Prairie, TX. The record was last updated on Aug 24, 2015.