| Adexon Care | |
|
25807 Westheimer Pkwy Ste 404 Katy TX 77494-5333 | |
| (281) 725-1721 | |
| Not Available |
| Full Name | Adexon Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 25807 Westheimer Pkwy Ste 404, Katy, Texas |
| Authorized Official Name and Position | Humani Oladapo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2817251721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adexon Care 25807 Westheimer Pkwy # 404 Katy TX 77494-5333 Ph: () - | Adexon Care 25807 Westheimer Pkwy Ste 404 Katy TX 77494-5333 Ph: (281) 725-1721 |
| NPI Number | 1902468374 |
|---|---|
| Provider Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
| Medicare PECOS PAC ID | 6103254479 |
|---|---|
| Medicare Enrollment ID | O20200319002255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902468374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Humani A Oladapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741270 PECOS PAC ID: 1052473089 Enrollment ID: I20151211002205 |
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