ADEBOWALE ALAO ADEDEJI (NPI# 1295102309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295102309 |
| Entity Type | Individual |
| Full Name | ADEBOWALE ALAO ADEDEJI |
| Credential | OWNER/CEO |
| Practice Address |
2613 Hawco Dr Apt 1822 2613 Hawco Dr Apt 1822 Grand Prairie TX 75052-7668 |
| Practice Telephone | 2147055047 |
| Mailing Telephone | 2147055047 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
261QH0100X | TX | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731355 | Adebowale O Adedeji | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2019-10-16 |
| Street Address |
2613 HAWCO DR APT 1822 2613 HAWCO DR APT 1822 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811362346 | Femmson Enterprises | Non-emergency Medical Transport (VAN) | 2613 Hawco Dr Apt 1822, Grand Prairie, TX 75052-7668 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255065 | Divine Grace Family Clinic Inc | Clinic/Center | 2455 Robinson Rd Ste 100, Grand Prairie, TX 75051-3852 | 2020-08-14 |
| 1386069821 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 1601 W Marshall Dr, Grand Prairie, TX 75051-2801 | 2014-02-20 |
| 1235571340 | Great Southwest Medical LLC | Clinic/Center | 643 S Great Southwest Pkwy, Suite 104, Grand Prairie, TX 75051-1056 | 2013-07-18 |
| 1427336932 | Kabetzke Chiropractic Inc. | Clinic/Center | 2426 S Carrier Pkwy, Grand Prairie, TX 75051-3805 | 2011-08-01 |
| 1275782229 | Concentra Health Services, Inc. | Clinic/Center | 2100 North Highway 360, Suite 2201, Grand Prairie, TX 75050-1009 | 2008-09-15 |
| 1578728796 | Peace Health Care Services | Clinic/Center | 2304 Oak Ln, Suite 13, Grand Prairie, TX 75051-8812 | 2008-07-28 |
| 1003076340 | Immaculate Home Care Services | Clinic/Center | 2304 Oak Ln, Suite 13, Grand Prairie, TX 75051-8812 | 2008-06-10 |
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| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1275142622 | Wound Care Institute of Texas, Pllc | Clinic/Center | 1401 E Ridge Rd Ste C, Mcallen, TX 78503 | 2020-07-30 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1760090526 | Sinang Medical & Associates | Clinic/Center | 10970 Shadow Creek Pkwy Ste 2, Pearland, TX 77584-0100 | 2020-07-17 |
| 1376160390 | Swell Steps Therapy | Clinic/Center | 4302 Cibolo Creek Trl, Prosper, TX 75078-9797 | 2020-06-26 |
| 1417570003 | Desire To Live Now, LLC | Clinic/Center | 1409 N Bishop St # A4, San Marcos, TX 78666-2600 | 2020-05-18 |
| 1255951679 | Sedrick Dewayne Bunton | Clinic/Center | 2923 Havenwood Ct, Richmond, TX 77406-2091 | 2020-04-26 |
| 1013536580 | Shifa Healthcare & Community Services Usa Inc. | Clinic/Center | 10415 Synott Rd Bldg D, Sugar Land, TX 77498-1132 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.