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NPI Code Detail

MEDICARE: AYOMIDE IRABOR-MUSA

MEDICARE:   AYOMIDE  IRABOR-MUSA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528901485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYOMIDE IRABOR-MUSA
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD STOP 7200
Second Line :
City : DALLAS
State : TX
Zip : 75390-7200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD STOP 7200
Second Line :
City : DALLAS
State : TX
Zip : 75390-7200
Country : US
Telephone Number : 214-648-3433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ AYOMIDE IRABOR-MUSA ” Practice Location

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