Healthcare Provider Details

I. General information

NPI: 1891931820
Provider Name (Legal Business Name): TAIWO A KUYE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2008
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 W SESAME DR STE A
HARLINGEN TX
78550-8365
US

IV. Provider business mailing address

597 W SESAME DR STE A
HARLINGEN TX
78550-8365
US

V. Phone/Fax

Practice location:
  • Phone: 956-425-9181
  • Fax: 956-425-1262
Mailing address:
  • Phone: 956-425-9181
  • Fax: 956-425-1262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP4879
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: