Individual
ABIODUN O DUROJAIYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11020 AUDELIA RD, SUITE B103, DALLAS, TX 75243-9030
(214) 340-3326
(214) 340-5116
Mailing address
11020 AUDELIA RD, SUITE B103, DALLAS, TX 75243-9030
(214) 340-3326
(214) 340-5116
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0066979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508856204
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/24/2005
Last updated
01/09/2008
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