Individual
DR. SAMUEL A ADESOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9639 FONDREN ROAD, HOUSTON, TX 77096
(713) 962-4055
(713) 962-4055
Mailing address
P.O. BOX 711047, HOUSTON, TX 77271
(713) 962-4055
(713) 962-4055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K7235
TX
207R00000X
Internal Medicine Physician
K7235
TX
208D00000X
General Practice Physician
K7235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138035423
—
TX
Enumeration date
08/17/2006
Last updated
09/19/2019
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