| Ladot Healthcare Llc | |
|
3129 Kingsley Dr Ste 540 Pearland TX 77584-8508 | |
| (832) 340-7101 | |
| Not Available |
| Full Name | Ladot Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3129 Kingsley Dr Ste 540, Pearland, Texas |
| Authorized Official Name and Position | Oladipo Dada (OWNER) |
| Authorized Official Contact | 8323407101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladot Healthcare Llc 3129 Kingsley Dr Ste 540 Pearland TX 77584-8508 Ph: (832) 340-7101 | Ladot Healthcare Llc 3129 Kingsley Dr Ste 540 Pearland TX 77584-8508 Ph: (832) 340-7101 |
| NPI Number | 1912502626 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 07/19/2022 |
| Medicare PECOS PAC ID | 2264848779 |
|---|---|
| Medicare Enrollment ID | O20210309000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912502626 | NPI | - | NPPES |
| 423440301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Oladipo Dada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760700223 PECOS PAC ID: 1850535394 Enrollment ID: I20130923000692 |
| Provider Name | Atinuke O Dada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154782720 PECOS PAC ID: 1355627829 Enrollment ID: I20170418000400 |
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