Tijani, Adisa A

Tijani, Adisa A is an sole proprietor health care provider with primary practice located at 9319 Lbj Fwy Ste 208G, Dallas TX 75243-3450. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Tijani, Adisa A can be contacted via phone (214) 575-0666.

Contact Information

Primary practice address
9319 Lbj Fwy Ste 208G Dallas TX 75243-3450
Phone: (214) 575-0666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0066978 Texas

Profile Details

NPI number 1700054665
LBN Legal business name Tijani, Adisa A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2008
Last updated Feb 13th, 2008 - about 18 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 1700054665 NPPES
Texas MEDICAID 173760303
Texas MEDICAID 173760301
Texas Other 531586
Texas MEDICAID 1628794
Texas MEDICAID 173760302

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