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Individual

DR. ENITAN ADETUNJI ADESANOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 SH 121, COLLEYVILLE, TX 76034
(817) 836-4003
(817) 836-4004
Mailing address
5000 SH 121, COLLEYVILLE, TX 76034
(301) 455-5945

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19019
MS
207P00000X
Emergency Medicine Physician
Primary
N0590
TX
207Q00000X
Family Medicine Physician
19019
MS
207Q00000X
Family Medicine Physician
N0590
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00581268
MS
Enumeration date
07/07/2006
Last updated
07/21/2022
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