ADELINE MEMORIAL MEDICAL GROUP PLLC NPI 1760075667

NPI Information

NPI: 1760075667
Provider Name: ADELINE MEMORIAL MEDICAL GROUP PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3200 AVENUE I
ROSENBERG, TX
ZIP 77471
Phone: (832) 344-3650
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ADELINE MEMORIAL MEDICAL GROUP PLLC is a family nurse practitioner in Rosenberg, TX. ADELINE MEMORIAL MEDICAL GROUP PLLC NPI is 1760075667. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3200 AVENUE I
ROSENBERG, TX
ZIP 77471-630
Phone: (832) 344-3650

The provider's authorized official is Funmilola O Odutayo .
The authorized official title is Provider and has the following contact phone number (832) 344-3650.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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