Mineola Medical Center Pllc

NPI #1053955039 in Mineola, Texas

Provider Information

NPI Number: 1053955039
Entity Type: Organization
Organization Name: Mineola Medical Center Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 1, 2019
Last Updated: Nov 1, 2019

Practice Location

Address: 415 W KILPATRICK ST
City: Mineola
State: Texas
ZIP Code: 75773-2032
Phone: (903) 569-2006

Authorized Official

Name: DR. ADEREMI ADEWUYI, MD
Title: MEDICAL DIRECTOR
Phone: (214) 406-7240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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