Provider Demographics
NPI:1316471063
Name:CARING HEART MEDICAL CLINIC
Entity type:Organization
Organization Name:CARING HEART MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEDAMOLA
Authorized Official - Middle Name:OLUWAFUNMILOLA
Authorized Official - Last Name:SOLAWON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:401-316-5562
Mailing Address - Street 1:9343 MINERAL ROCK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2073
Mailing Address - Country:US
Mailing Address - Phone:401-316-5562
Mailing Address - Fax:
Practice Address - Street 1:14522 S POST OAK RD
Practice Address - Street 2:SUITE 203B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-6037
Practice Address - Country:US
Practice Address - Phone:401-316-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty