Organization
MEDBAK HEALTHCARE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWUMI BAKARE PA (CEO)
(214) 516-1495
Entity
Organization
Contact information
Practice address
1130 BEACHVIEW ST, STE 110, DALLAS, TX 75218-3700
(214) 516-1495
(214) 660-8634
Mailing address
1130 BEACHVIEW ST, STE 110, DALLAS, TX 75218-3700
(214) 516-1495
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06380
TX
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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