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Contact Information

ENITAN A ADESANOYE, MD
5000 SH 121
COLLEYVILLE, TX76034
 Phone: 817-836-4003
 Fax: 817-836-4004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ENITAN A ADESANOYE · (Male)

NPI Number 1134151624
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 19019
  • TX License # N0590
  • MS Medicaid 00581268
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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