Adesanya, Adebola O

Adesanya, Adebola O is an individual health care provider with primary practice located at 3101 N Tarrant Pkwy , Fort Worth TX 76177-8601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Adesanya, Adebola O can be contacted via phone (817) 639-1000.

Contact Information

Primary practice address
3101 N Tarrant Pkwy Fort Worth TX 76177-8601
Phone: (817) 639-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K1331 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K1331 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X K1331 Texas

Profile Details

NPI number 1124080288
LBN Legal business name Adesanya, Adebola O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 5th, 2020 - about 6 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 1124080288 NPPES
Texas MEDICAID 132360204
Texas MEDICAID 132360208
Texas MEDICAID 132360207

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