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NPI Code Detail

MEDICARE: OYEYINKA OYENIYI

MEDICARE:   OYEYINKA  OYENIYI
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1386123321
Entity Type Code : Individual
Provider Name (Legal Business Name) : OYEYINKA OYENIYI
Provider Business Mailing Address
First Line : 3015 GRAYSTONE CT
Second Line :
City : SEAGOVILLE
State : TX
Zip : 75159-1457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2918 DUNCANVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-7407
Country : US
Telephone Number : 214-467-7090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 08/10/2018

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Directions to “ OYEYINKA OYENIYI ” Practice Location

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