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Organization
ADEBOGUN M.D., P. A.
Active
Organization
ADEBOGUN M.D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADELE ADEBOGUN MD (CEO)
(972) 221-7900
Entity
Organization
Contact information
Practice address
2620 LONG PRAIRIE ROAD, 100, FLOWER MOUND, TX 75022
(972) 221-7900
(972) 221-7901
Mailing address
PO BOX 270603, FLOWER MOUND, TX 75027-0603
(972) 221-7900
(972) 221-7901
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
01/06/2016
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