Adeleye, Victoria M
Adeleye, Victoria M is an individual health care provider with primary practice located at 508 Medical Center Blvd Ste 200, Conroe TX 77304-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Adeleye, Victoria M can be contacted via phone (936) 760-4600.Contact Information
Primary practice address
508 Medical Center Blvd Ste 200
Conroe TX 77304-2808
Phone: (936) 760-4600
Fax: (936) 760-4601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036103208 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N7985 | Texas |
Profile Details
| NPI number | 1124031281 |
|---|---|
| LBN Legal business name | Adeleye, Victoria M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Nov 15th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124031281 | NPPES |
| Texas | Other | 094010801 | GROUP MEDICAID NUMBER |
| Texas | Other | 00J21A | GROUP MEDICAID NUMBER |
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