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NPI Code Detail

MEDICARE: OMOLARA ABITOYE PA DBA ACCLAIM PEDIATRICS

MEDICARE: OMOLARA ABITOYE PA DBA ACCLAIM PEDIATRICS
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1538400437
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMOLARA ABITOYE PA DBA ACCLAIM PEDIATRICS
Provider Business Mailing Address
First Line : 2626 S CARRIER PKWY STE 300
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-5014
Country : US
Telephone Number : 972-642-7337
Fax Number : 972-642-7339
Provider Business Practice Location Address
First Line : 2626 S CARRIER PKWY STE 300
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-5014
Country : US
Telephone Number : 609-206-4202
Fax Number : 972-642-7339
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. OMOLARA OYEYEMI ABITOYE
Credential : MD MPH FAAP
Telephone Number : 972-642-7337
Provider Enumeration Date : 03/04/2013
Last Update Date : 10/17/2023

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