Individual
MORAYO FADEKEMI ADEBISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15420 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1106
(210) 767-3870
Mailing address
5750 NORTHWEST PKWY STE 111, SAN ANTONIO, TX 78249-3468
(210) 348-4040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1154470
TX
Other
Enumeration date
08/20/2024
Last updated
09/26/2024
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