Individual
MR. ADEKUNLE ADEOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2304 OAK LN STE 114, GRAND PRAIRIE, TX 75051-8813
(469) 454-6288
Mailing address
PO BOX 1565, CEDAR HILL, TX 75106-1565
(240) 406-0861
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32059015472
STATE
TX
Enumeration date
06/28/2017
Last updated
06/28/2017
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