MEDICARE: TOPHEALTH FAMILY CLINIC LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1932803921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOPHEALTH FAMILY CLINIC LLC

Provider Business Mailing Address
First Line	:	1100 WILCREST DR STE 121
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WILCREST DR STE 121
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1642
Country	:	US
Telephone Number	:	346-388-0388
Fax Number	:	346-388-3101

Authorized Official
Title or Position	:	CEO
Name	:	YETUNDE C OGUNJUMELO
Credential	:	NP
Telephone Number	:	832-807-7368

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/27/2023

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