Individual
ADEBAYO ADEWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4002 S LOOP 256, STE F, PALESTINE, TX 75801-8493
(903) 723-8210
(903) 723-8310
Mailing address
4002 S LOOP 256, STE F, PALESTINE, TX 75801-8493
(903) 723-8210
(903) 723-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267748
NY
207RN0300X
Nephrology Physician
Primary
Q0394
TX
Other
Enumeration date
12/22/2011
Last updated
07/11/2017
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