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Organization
MINEOLA MEDICAL CENTER PLLC
Active
Organization
MINEOLA MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEREMI ADEWUYI MD (MEDICAL DIRECTOR)
(214) 406-7240
Entity
Organization
Contact information
Practice address
415 W KILPATRICK ST, MINEOLA, TX 75773-2032
(903) 569-2006
Mailing address
PO BOX 37, WYLIE, TX 75098-0037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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