Adebogun, Oladele Adepitan

Adebogun, Oladele Adepitan is an sole proprietor health care provider with primary practice located at 2620 Long Prairie Rd Ste 100 , Flower Mound TX 75022-4953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Adebogun, Oladele Adepitan can be contacted via phone (972) 221-7900.

Contact Information

Primary practice address
2620 Long Prairie Rd Ste 100 Flower Mound TX 75022-4953
Phone: (972) 221-7900
Fax: (972) 221-7900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X N6128 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E-1599 Arkansas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X N6128 Texas

Profile Details

NPI number 1104822097
LBN Legal business name Adebogun, Oladele Adepitan
Credentials MD. PA.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Jan 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104822097 NPPES
Texas MEDICAID 116300726

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