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Organization
ADA ADULT AND CHILDREN FAMILY CLINIC LLC
Active
Organization
ADA ADULT AND CHILDREN FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLANREWAJU SAMUEL AYILEKA (CLINIC MANAGER)
(432) 400-3066
Entity
Organization
Contact information
Practice address
3416 W WALL ST, MIDLAND, TX 79701-6710
(432) 400-3066
Mailing address
PO BOX 4534, MIDLAND, TX 79704-4534
(432) 400-3066
(432) 400-0871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
02/05/2024
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