Adesoba, Samuel A

Adesoba, Samuel A is an sole proprietor health care provider with primary practice located at 9639 Fondren Road , Houston TX 77096. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Adesoba, Samuel A can be contacted via phone (713) 962-4055.

Contact Information

Primary practice address
9639 Fondren Road Houston TX 77096
Phone: (713) 962-4055
Fax: (713) 962-4055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K7235 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X K7235 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K7235 Texas

Profile Details

NPI number 1023122371
LBN Legal business name Adesoba, Samuel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Sep 19th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023122371 NPPES
Texas MEDICAID 138035423

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