IndividualActive
Adebowale Adedeji, OWNER/CEO
NPI 1295102309 · Health Service Clinic/Center · Grand Prairie, TX
Provider details
- NPI number
- 1295102309
- Entity type
- Individual
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Credential
- OWNER/CEO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 261QH0100X (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2613 Hawco Dr Apt 1822
2613 Hawco Dr Apt 1822
Grand Prairie, TX 75052-7668
Phone: (214) 705-5047
Approximate (ZIP-level) locationGet directions
Mailing address
2613 Hawco Dr Apt 1822
Grand Prairie, TX 75052-7668
Registry dates
- Enumerated
- 2015-08-24
- Last updated
- 2015-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.