Organization
ADA ADULT AND CHILDREN FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLANREWAJU SAMUEL AYILEKA (CLINIC MANAGER)
(432) 400-3066
Entity
Organization
Contact information
Practice address
3416 W WALL ST, MIDLAND, TX 79701-6710
(432) 400-3066
Mailing address
PO BOX 4534, MIDLAND, TX 79704-4534
(432) 400-3066
(432) 400-0871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
02/05/2024
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