Organization
CROWN200 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABATUNDE OLANREWAJU ADEDIGBA (MANAGER)
(817) 522-4432
Entity
Organization
Contact information
Practice address
1303 MULE DEER DR, ARLINGTON, TX 76002-4555
(817) 522-4432
Mailing address
1303 MULE DEER DR, ARLINGTON, TX 76002-4555
(817) 522-4432
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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