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NPI Code Detail

MEDICARE: MR. AKANIBO DA-WARIBOKO JR. MD

MEDICARE: MR. AKANIBO DA-WARIBOKO JR. MD
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
1207RC0000XCardiovascular Disease PhysicianT1675TX

General Provider Information

NPI Number : 1902144736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AKANIBO DA-WARIBOKO JR. MD
Provider Business Mailing Address
First Line : 4301 GARTH RD STE 100
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-3157
Country : US
Telephone Number : 281-837-7587
Fax Number :
Provider Business Practice Location Address
First Line : 6550 FANNIN ST STE 1901
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2719
Country : US
Telephone Number : 713-441-1100
Fax Number : 713-790-2643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 03/05/2026

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