Provider Demographics
NPI:1710345905
Name:ADESOKAN, ADERONKE
Entity Type:Individual
Prefix:
First Name:ADERONKE
Middle Name:
Last Name:ADESOKAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 12TH STEET
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:TX
Mailing Address - Zip Code:77445
Mailing Address - Country:US
Mailing Address - Phone:832-800-7135
Mailing Address - Fax:
Practice Address - Street 1:19911 SYCAMORE VALLEY DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3236
Practice Address - Country:US
Practice Address - Phone:281-224-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies