# ADA ADULT AND CHILDREN FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578191292
- **Authorized official:** OLANREWAJU SAMUEL AYILEKA (CLINIC MANAGER)
- **Authorized official phone:** (432) 400-3066

## Contact information

- **Practice address:** 3416 W WALL ST, MIDLAND, TX 79701-6710
- **Practice address phone:** (432) 400-3066
- **Mailing address:** PO BOX 4534, MIDLAND, TX 79704-4534
- **Mailing address phone:** (432) 400-3066
- **Mailing address fax:** (432) 400-0871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2020
- **Last updated:** 02/05/2024