Ademola Adeniregun
Individual provider Active NPI Private Vehicle · Frisco, TX
NPI 1740912427 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1740912427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- DJ9B878 (TX)
- Practice address
- 7622 Daylily Way
Frisco, TX 75033-3115 - Phone
- (214) 263-0857
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DJ9B878 | TX | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | DJ9B878 | TX | Yes |
Addresses
Primary practice location
7622 Daylily Way
Frisco, TX 75033-3115
Mailing address
7622 Daylily Way
Frisco, TX 75033-3115
Phone (214) 263-0857
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.