Organization
MISSION COLON & RECTAL SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONIA ADEWOLE MD (PLLC)
(682) 559-0671
Entity
Organization
Contact information
Practice address
2120 PRAIRIE DR STE 502, PROSPER, TX 75078-3820
(682) 559-0671
Mailing address
2750 S PRESTON RD STE 116264, CELINA, TX 75009-3885
(682) 559-0671
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
03/10/2025
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