Individual
ADEYEMI T GBOHUNMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6913 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7163
(708) 505-9364
Mailing address
1301 E DEBBIE LN # 102-8, MANSFIELD, TX 76063-3305
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
T9873
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
12/15/2025
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