Provider Demographics
NPI:1902468374
Name:ADEXON CARE
Entity type:Organization
Organization Name:ADEXON CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HUMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-725-1721
Mailing Address - Street 1:25807 WESTHEIMER PKWY # 404
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25807 WESTHEIMER PKWY STE 404
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5333
Practice Address - Country:US
Practice Address - Phone:281-725-1721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-05
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health