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Collins Adeagbo
NPI 1598147811 · on the registry since 2015 · sole proprietor
Practice
- Address
- 207 Balsam Grove Cir
Desoto, TX 75115 - Phone
- (469) 463-3061
- Organisation at this address
- Collad
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Also registered as
- 246Z00000X
247000000X
251K00000X
261QH0100X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas