Provider Demographics
NPI:1538400437
Name:OMOLARA ABITOYE PA DBA ACCLAIM PEDIATRICS
Entity type:Organization
Organization Name:OMOLARA ABITOYE PA DBA ACCLAIM PEDIATRICS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:OYEYEMI
Authorized Official - Last Name:ABITOYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH FAAP
Authorized Official - Phone:972-642-7337
Mailing Address - Street 1:2626 S CARRIER PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-5014
Mailing Address - Country:US
Mailing Address - Phone:972-642-7337
Mailing Address - Fax:972-642-7339
Practice Address - Street 1:2626 S CARRIER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-5014
Practice Address - Country:US
Practice Address - Phone:609-206-4202
Practice Address - Fax:972-642-7339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty