Adelitas Medical-NWH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M0897 Issued in TX

Legal business name

ADELITAS MEDICAL-NWH

Doing business as

Adelitas Medical

Practice address

610 E Jefferson Blvd
Suite 110
Dallas, TX 75203-2750

Phone

(214) 351-9400

Fax

(214) 222-9114

NPI assigned

Sep 3, 2010

Last updated

Jul 29, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angel Salazar, MD

Title

Owner

Phone

(214) 351-9400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Adelitas Medical Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1912214446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E JEFFERSON BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032750",
            "telephone_number": "214-351-9400",
            "fax_number": "214-222-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E JEFFERSON BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752032750",
            "telephone_number": "214-351-9400",
            "fax_number": "214-222-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELITAS MEDICAL-NWH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-351-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219463101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219463102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adelitas Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omolara Lizzy Adejinmi, APRN-CNP
• Dolapo Taiwo Adejumobi, MD
• Blessing Adekanye
• Yewande Adelana
• Adelitas Medical NWH
• Oluwatoyin Adelusi, MD
• Aden's Home Health Care
• Adejumoke Adeniyi, PHARMD
• Ammar Adenwalla, MD
• Olukemi Olutokunbo Adeogun, PMHNP-BC

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.