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Organization
OBISESAN TRANSITIONS MHT PLLC
Active
Organization
OBISESAN TRANSITIONS MHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAJIDE A OBISESAN M.D (OWNER)
(616) 813-5108
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR, MCKINNEY, TX 75069-3256
(844) 633-4663
Mailing address
2548 CYPRESS OAK LN, GASTONIA, NC 28056-0016
(616) 813-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WC1178
—
SC
Enumeration date
11/05/2015
Last updated
11/05/2015
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