Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Internal Medicine & Industrial Medicine Clinic PA

Organization Internal Medicine Physician · NPI 1841259421

Internal Medicine & Industrial Medicine Clinic PA is an Internal Medicine Physician in Desoto, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2727 Bolton Boone Dr 102
Desoto, TX 75115-2019
Phone: (972) 283-8777
Fax: (972) 283-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1841259421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olubayo Idowu — Medical Director · (972) 283-8777
NPI enumeratedMarch 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2727 Bolton Boone Dr, 102, Desoto, TX 75115-2019

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