Internal Medicine & Industrial Medicine Clinic P.A.

LBN: Internal Medicine & Industrial Medicine Clinic P.A.
Internal Medicine & Industrial Medicine Clinic P.A. is an health care organization with primary practice located at 2727 Bolton Boone Dr 102, Desoto TX 75115-2019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Internal Medicine & Industrial Medicine Clinic P.A. can be contacted via phone (972) 283-8777, or through Idowu, Olubayo Ayotunde via phone (972) 283-8777.

Contact Information

Primary practice address
2727 Bolton Boone Dr 102 Desoto TX 75115-2019
Fax: (972) 283-9333
Website:
Authorized official contact:
Name: Idowu, Olubayo Ayotunde Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1841259421
LBN Legal business name Internal Medicine & Industrial Medicine Clinic P.A.
DBA Doing business as
Authorized official Idowu, Olubayo Ayotunde Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 22nd, 2020 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841259421 NPPES
Texas Other 0033EV BCBS

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