Organization
NEW HAVEN MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ADEOSUN M.D. (OWNER)
(855) 860-2109
Entity
Organization
Contact information
Practice address
333 DOCTOR MICHAEL DEBAKEY DR, SUITE 120, LAKE CHARLES, LA 70601-5887
(855) 860-2109
Mailing address
1515 HERITAGE DRIVE, SUITE 110, MCKINNEY, TX 75069-3379
(972) 616-4702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.202004
LA
Other
Enumeration date
03/14/2014
Last updated
07/31/2014
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