Individual
MICHAEL A BADEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
403 W MAIN ST, SUITE B, LEWISVILLE, TX 75057-3757
(972) 436-1811
(469) 464-4398
Mailing address
403 W MAIN ST, SUITE B, LEWISVILLE, TX 75057-3757
(972) 436-1811
(469) 464-4398
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04564
TX
Other
Enumeration date
06/08/2006
Last updated
02/16/2010
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