MEDICARE: MACOREDEX WORLDWIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134014749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACOREDEX WORLDWIDE LLC

Provider Business Mailing Address
First Line	:	5039 GOLD HAVEN DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1432
Country	:	US
Telephone Number	:	346-857-3993
Fax Number	:

Provider Business Practice Location Address
First Line	:	5039 GOLD HAVEN DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1432
Country	:	US
Telephone Number	:	346-857-3993
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. OLUGBENGA OREDEKO
Credential	:
Telephone Number	:	713-340-9390

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	06/12/2025

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Directions to “MACOREDEX WORLDWIDE LLC ” Practice Location

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