Provider Demographics
NPI:1952666893
Name:AJELETI, FRANCIS OLATUNDE (N/A)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:OLATUNDE
Last Name:AJELETI
Suffix:
Gender:M
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-0170
Mailing Address - Country:US
Mailing Address - Phone:832-423-8238
Mailing Address - Fax:281-499-4902
Practice Address - Street 1:1802 ELM SHADOW DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2920
Practice Address - Country:US
Practice Address - Phone:832-423-8238
Practice Address - Fax:281-499-4902
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker