Basic Information
| Provider Information | |||||||||
| NPI: | 1467745240 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESHO | ||||||||
| FirstName: | ADENIKE | ||||||||
| MiddleName: | TITILAYO | ||||||||
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| Credential: | M.D. , M.P.H | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4214 ANDREWS HWY STE 240 | ||||||||
| Address2: | |||||||||
| City: | MIDLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 797034817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4326866605 | ||||||||
| FaxNumber: | 4326822284 | ||||||||
| Practice Location | |||||||||
| Address1: | 5615 DEAUVILLE STE 240 | ||||||||
| Address2: | |||||||||
| City: | MIDLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 797062709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4322215560 | ||||||||
| FaxNumber: | 4322212375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2011 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Q2659 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RR0500X | Q2659 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | P01581091 | 01 | TX | RAILROAD MCARE | OTHER | 383114YPVD | 01 | TX | TX MEDICARE | OTHER |