Adebo Clinic, PLLC
Organization Active NPI Pediatrics Physician · Missouri City, TX
NPI 1114544640 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1114544640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ADEBO CLINIC, PLLC
- Practice address
- 4502 Riverstone Blvd Ste 204
Missouri City, TX 77459-5213 - Phone
- (832) 581-7474
- Fax
- (832) 384-9459
- NPI assigned
- Jun 30, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Senait Adebo, MD
- Title
- Manager
- Phone
- (832) 581-7474
Practitioners 1
-
Senait Mengisteab Adebo, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2274124 | Adebo Clinic, PLLC Dba Sugarland Pediatrics | Certificate of waiver | Dec 26, 2026 |
National Provider Directory
Locations
4502 Riverstone Blvd
Ste 204
Missouri City, TX 77459
Phone (832) 581-7474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes | ||
| Pediatric Cardiology Physician |
2080P0202X |
Addresses
Primary practice location
4502 Riverstone Blvd Ste 204
Missouri City, TX 77459-5213
Mailing address
4502 Riverstone Blvd Ste 204
Missouri City, TX 77459-5213
Phone (832) 581-7474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P8829 | Other | TX | TEXAS MEDICAL LICENCE |
Other names
- Sugar Land Pediatrics
Other providers in Missouri City, TX
- Karen Acevedo
- Action Therapy Centers Limited
- Acts V Health Care Services LLC
- Ada'S Personal Care Home
- Adeola Adams
- Senait Mengisteab Adebo
- Oluwaseun Oluwasolape Adedeji
- Rachael O Adegbola
- Mary O Adegborioye
- Latoya Adekoya
All providers in Missouri City, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.