Individual
MR. ADEBOWALE SHADRACH SALAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
9101 HIGHWAY 6 N, HOUSTON, TX 77095-2302
(281) 859-3210
Mailing address
9101 HIGHWAY 6 N, HOUSTON, TX 77095-2302
(281) 859-3210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
853775
TX
363LF0000X
Family Nurse Practitioner
Primary
1060750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013580240
—
TX
Enumeration date
07/24/2021
Last updated
06/01/2022
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