NPI: 1821654443 · DESOTO, TX 75115 · Family Medicine Physician · NPI assigned 05/20/2019
| Authorized Official | ADEPEGBA, NOSIMOT (PRESIDENT) |
| NPI Enumeration Date | 05/20/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 13 | 12 | $0.00 |