Michael E Esedebe Mdpa
Michael E Esedebe Mdpa is a Clinic/Center in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
11617 N Central Expy Ste 240Dallas, TX 75243-3800
Phone: (214) 553-1516
Fax: (214) 553-1519
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence L0155 (TX) |
|---|
Record details
| NPI number | 1740343177 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Michael E Esedebe Mdpa |
| Authorized official | Michael Esedebe — Medical Director · (214) 336-9559 |
| Other names | Audelia Medical Center |
| NPI enumerated | December 18, 2006 |
| Last updated in NPPES | February 1, 2012 |
| Mailing address | 11617 N Central Expy, Suite 240, Dallas, TX 75243-3800 |
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