Elemuren-Ogunmuyiwa, Iyabo A

Elemuren-Ogunmuyiwa, Iyabo A is an individual health care provider with primary practice located at 813 S Amy Ln Ste 101, Harker Heights TX 76548-1955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elemuren-Ogunmuyiwa, Iyabo A can be contacted via phone (254) 699-8521.

Contact Information

Primary practice address
813 S Amy Ln Ste 101 Harker Heights TX 76548-1955
Phone: (254) 699-8521
Fax: (254) 213-1509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K4050 Texas

Profile Details

NPI number 1326113218
LBN Legal business name Elemuren-Ogunmuyiwa, Iyabo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2006
Last updated May 2nd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326113218 NPPES
Texas MEDICAID 096222702

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