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Organization
ABA MEDICAL CLINIC, INC.
Active
Organization
ABA MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEOLA ANTHONY AMUSAN M.D., (INTERNAL MEDICINE DOCTOR)
(469) 200-4118
Entity
Organization
Contact information
Practice address
502 E HIGH ST, TERRELL, TX 75160-2836
(469) 200-4115
(469) 200-4118
Mailing address
502 E HIGH ST, TERRELL, TX 75160-2836
(469) 200-4115
(469) 200-4118
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
L1515
TX
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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