Individual
ADEBISI I OBAFEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7201
(214) 645-8600
(214) 645-8601
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-8600
(214) 645-8601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38034
AZ
207R00000X
Internal Medicine Physician
Primary
N5292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337355
—
AZ
01
—
P00646320
RAILROAD MEDICARE
AZ
Enumeration date
03/18/2008
Last updated
06/08/2012
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