MEDICARE: TAIWO FINANCIAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		TX

General Provider Information

NPI Number	:	1295149599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAIWO FINANCIAL LLC

Provider Business Mailing Address
First Line	:	6720 CHIMNEY ROCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5639
Country	:	US
Telephone Number	:	281-904-5240
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720 CHIMNEY ROCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-5639
Country	:	US
Telephone Number	:	281-904-5240
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY TAIWO
Credential	:
Telephone Number	:	281-904-5240

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	10/15/2014

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Directions to “TAIWO FINANCIAL LLC ” Practice Location

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