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NPI Code Detail

MEDICARE: YEWANDE ODUKOYA PT

MEDICARE:   YEWANDE  ODUKOYA  PT
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
1171W00000XContractor

General Provider Information

NPI Number : 1649542093
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEWANDE ODUKOYA PT
Provider Business Mailing Address
First Line : 7322 SOUTHWEST FWY STE 1070
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2059
Country : US
Telephone Number : 281-725-0734
Fax Number :
Provider Business Practice Location Address
First Line : 7322 SOUTHWEST FWY STE 1070
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2059
Country : US
Telephone Number : 281-725-0734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 02/01/2012

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Directions to “ YEWANDE ODUKOYA PT” Practice Location

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