Mrs. ANTHONIA D ADEWOLE M.D
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1598907925- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D
- Status
- Active
Contact & Location
- Address
- 2120 PRAIRIE DR STE 502, PROSPER, TX, 750783820
- Phone
- (469) 447-4893
- Fax
- (469) 447-4925
Specialties & Taxonomies
Surgery
License: CT #SSN/ITIN deleted
Colon & Rectal Surgery
License: GA #073405
Colon & Rectal Surgery
Primary License: TX #T9330