NPI 1124080288 · live from the CMS NPI Registry
Adebola O Adesanya, MD
Anesthesiology, Critical Care Medicine in Fort Worth, TX. National Provider Identifier 1124080288, active.
NPI record
| NPI | 1124080288 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Critical Care Medicine 207LC0200X |
| Practice location | 3101 N Tarrant Pkwy, Fort Worth, TX 76177 |
| Practice phone | 817-639-1000 |
| Mailing address | 4020 N Macarthur Blvd Ste 122-228, Irving, TX 75038 |
| Enumerated | April 4, 2006 |
| Last updated | August 5, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | K1331 (TX) |
| Internal Medicine | 207R00000X | K1331 (TX) |
| Anesthesiology, Critical Care Medicine primary | 207LC0200X | K1331 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.