Audelia Medical Center

LBN: Michael E Esedebe Mdpa
Audelia Medical Center is an health care organization with primary practice located at 11617 N Central Expy Suite 240, Dallas TX 75243-3800. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Michael E Esedebe Mdpa can be contacted via phone (214) 553-1516, or through Esedebe, Michael Emeka via phone (214) 336-9559.

Contact Information

Primary practice address
11617 N Central Expy Suite 240 Dallas TX 75243-3800
Phone: (214) 553-1516
Fax: (214) 553-1519
Website:
Map and Directions
Authorized official contact:
Name: Esedebe, Michael Emeka Doctor of Medicine (MD)
Phone: (214) 336-9559

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X L0155 Texas

Profile Details

NPI number 1740343177
LBN Legal business name Michael E Esedebe Mdpa
DBA Doing business as Audelia Medical Center
Authorized official Esedebe, Michael Emeka Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2006
Last updated Feb 1st, 2012 - about 12 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 1740343177 NPPES
Texas MEDICAID 047474404

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