MEDICARE: MR. TAIWO ADEREMI SABABAKARE

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	0069182	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	0069182	TX

General Provider Information

NPI Number	:	1659443729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TAIWO ADEREMI SABABAKARE

Provider Business Mailing Address
First Line	:	9207 COUNTRY CREEK DR
Second Line	:	205
City	:	HOUSTON
State	:	TX
Zip	:	77036-7714
Country	:	US
Telephone Number	:	713-777-4348
Fax Number	:	713-777-3212

Provider Business Practice Location Address
First Line	:	9207 COUNTRY CREEK DR
Second Line	:	205
City	:	HOUSTON
State	:	TX
Zip	:	77036-7714
Country	:	US
Telephone Number	:	713-777-4348
Fax Number	:	713-777-3212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/11/2025

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