Internal Medicine & Industrial Medicine Clinic P.a.

NPI #1841259421 in Desoto, Texas

Provider Information

NPI Number
1841259421
Entity Type
Organization
Organization Name
Internal Medicine & Industrial Medicine Clinic P.a.
Primary Specialty
Internal Medicine
Enumeration Date
Mar 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2727 BOLTON BOONE DR
Address 2
102
City
Desoto
State
Texas
ZIP Code
75115-2019
Phone
(972) 283-8777

Authorized Official

Name
DR. OLUBAYO AYOTUNDE IDOWU, M.D
Title
MEDICAL DIRECTOR
Phone
(972) 283-8777

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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