Provider Demographics
NPI:1770870404
Name:OLATERU-OLAGBEGI, ADENIKE
Entity type:Individual
Prefix:
First Name:ADENIKE
Middle Name:
Last Name:OLATERU-OLAGBEGI
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 1:12521 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0370
Mailing Address - Country:US
Mailing Address - Phone:770-312-6572
Mailing Address - Fax:
Practice Address - Street 1:12521 SUNRISE DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0370
Practice Address - Country:US
Practice Address - Phone:770-312-6572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator