Organization
SOUTHWEST HOME MEDICAL CARE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADIMEJI OLUMIDE SORUNKE PA (CEO)
(817) 723-3638
Entity
Organization
Contact information
Practice address
2012 KALGARY LN, GRAND PRAIRIE, TX 75052-8869
(817) 723-3638
(817) 453-1181
Mailing address
2012 KALGARY LN, GRAND PRAIRIE, TX 75052-8869
(817) 723-3638
(817) 453-1181
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03163
TX
Other
Enumeration date
01/22/2008
Last updated
02/07/2025
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