Individual
PAMELA OLABISI ADENUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 SOUTHEAST PKWY, SUITE 107, ARLINGTON, TX 76018-3605
(817) 557-1668
(888) 441-6930
Mailing address
1901 SOUTHEAST PKWY, SUITE 107, ARLINGTON, TX 76018-3605
(817) 557-1668
(888) 441-6930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
32015808465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3-20158-0846-5
SALES AND USE TAX
TX
Enumeration date
05/30/2007
Last updated
08/27/2008
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