Organization
ADENEURO INC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEWALE ADENIRAN M.D. (OWNER)
(210) 714-5492
Entity
Organization
Contact information
Practice address
14439 NW MILITARY HWY STE 108, #296, SHAVANO PARK, TX 78231-1648
(210) 714-5942
Mailing address
14439 NW MILITARY HWY STE 108, #296, SHAVANO PARK, TX 78231-1648
(210) 714-5942
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/29/2015
Last updated
10/28/2016
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