Adeline Memorial Medical Group Pllc

LBN: Adeline Memorial Medical Group Pllc
Adeline Memorial Medical Group Pllc is an health care organization with primary practice located at 3200 Avenue I , Rosenberg TX 77471-3630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Adeline Memorial Medical Group Pllc can be contacted via phone (832) 344-3650, or through Odutayo, Funmilola O via phone (832) 344-3650.

Contact Information

Primary practice address
3200 Avenue I Rosenberg TX 77471-3630
Phone: (832) 344-3650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Odutayo, Funmilola O Family Nurse Practitioner (FNP)
Phone: (832) 344-3650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1760075667
LBN Legal business name Adeline Memorial Medical Group Pllc
DBA Doing business as
Authorized official Odutayo, Funmilola O Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2021
Last updated Apr 18th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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