Individual
ADEOLA A. AMUSAN
Active
Individual
ADEOLA A. AMUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148738105
—
TX
05
—
148738106
—
TX
05
—
148738108
—
TX
05
—
148738109
—
TX
05
—
148738110
—
TX
05
—
148738111
—
TX
05
—
148738113
—
TX
05
—
148738114
—
TX
05
—
148738115
—
TX
05
—
148738116
—
TX
05
—
148738117
—
TX
05
—
148738119
—
TX
01
—
8U3653
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/06/2005
Last updated
02/20/2014
Update your record
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