| Organization Name: | ADEBOGUN M.D., P. A. |
| NPI Number: | 1306273560 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLADELE ADEBOGUN (CEO) |
| Mailing Address: | 2620 Long Prairie Road 100 Flower Mound |
| State: | TX US |
| Postal Code: | 75022 |
| Phone Number: | 9722217900 |
| Fax Number: | 9722217901 |
| NPI Enumeration Date: | 10/02/2013 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |