Provider Demographics
NPI:1417065160
Name:ADAMS, RONNIE LASALLE II (MD)
Entity Type:Individual
Prefix:
First Name:RONNIE
Middle Name:LASALLE
Last Name:ADAMS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1740 WEST 27TH STREET
Mailing Address - Street 2:SUITE 321
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-802-9694
Mailing Address - Fax:713-802-9961
Practice Address - Street 1:1740 WEST 27TH STREET
Practice Address - Street 2:SUITE 321
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:713-802-9694
Practice Address - Fax:713-802-9961
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2022-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3839208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI66293Medicare UPIN