Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CANDACE A ADEDOKUN, MD
DeactivatedDR. CANDACE A ADEDOKUN, MD is a General Practice healthcare provider located in LACKLAND AFB, Texas. NPI 1003639121 is deactivated in the NPPES registry. Verify at CMS.
General Practice · LACKLAND AFB, TX
This NPI has been deactivated.
The record was deactivated on November 5, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1003639121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2021 (3.6520547945205 yrs)
- Last Updated
- Dec 5, 2024
- Deactivated
- Nov 5, 2024
- License
-
2023021151 (MO)
Practice Information
- Address
-
1100 WILFORD HALL LOOPLACKLAND AFB, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102921452
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in LACKLAND AFB, TX
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS ERIC DUDENHOEFER | MD | 1891428306 |
| KIELE TERESA MOHRE REISS | DO | 1043902745 |
| CURTIS M PERZ | — | 1255185104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.