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NPI Code Detail

MEDICARE: ESTHER SOYEBO

MEDICARE:   ESTHER  SOYEBO
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 : 1235077983
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER SOYEBO
Provider Business Mailing Address
First Line : 9222 S DAIRY ASHFORD RD APT 2705
Second Line :
City : HOUSTON
State : TX
Zip : 77099-4939
Country : US
Telephone Number : 346-252-3211
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-752-1000
Fax Number : 404-756-8682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ ESTHER SOYEBO ” Practice Location

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