Organization
EDNA OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FATIMAH ADEYEMI SHITTU (ADMINISTRATOR)
(281) 494-9366
Entity
Organization
Contact information
Practice address
1907 SUMMERFIELD PL, SUGAR LAND, TX 77478-2555
(281) 494-9366
Mailing address
1907 SUMMERFIELD PL, SUGAR LAND, TX 77478-2555
(281) 494-9366
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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