Individual
MR. ABIOLA A ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5108 PECOS RIVER TRL, APT.2115, FT WORTH, TX 76132-1296
(469) 247-5412
Mailing address
5108 PECOS RIVER TRL, APT.2115, FT WORTH, TX 76132-1296
(469) 247-5412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08325
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315211801
—
TX
05
—
315211802
—
TX
Enumeration date
11/08/2012
Last updated
07/26/2013
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