Most Relevant Information
Provider Data
| NPI Number: | 1003639121 |
| Provider Name: | CANDACE A ADEDOKUN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 2023021151 |
Most Important Dates
| Enumeration Date: | 03/12/2021 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
1100 WILFORD HALL LOOP
LACKLAND AFB
TX
782365638
Practice Location Phone/Fax
| Phone: | 2102921452 |
| Fax: |
Provider Mailing Location
1100 WILFORD HALL LOOP
LACKLAND AFB
TX
782365638
Provider Mailing Phone/Fax
| Phone: | 2102921452 |
| Fax: |