| Allied Digestive Disease Center Of Houston | |
|
21212 Northwest Fwy Ste 425a Cypress TX 77429-5884 | |
| (832) 912-4481 | |
| (832) 912-4464 |
| Full Name | Allied Digestive Disease Center Of Houston |
|---|---|
| Speciality | Internal Medicine |
| Location | 21212 Northwest Fwy Ste 425a, Cypress, Texas |
| Authorized Official Name and Position | Babatunde Adeyefa (OWNER) |
| Authorized Official Contact | 8329124481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Digestive Disease Center Of Houston 21212 Northwest Fwy Ste 425a Cypress TX 77429-5884 Ph: (832) 912-4481 | Allied Digestive Disease Center Of Houston 21212 Northwest Fwy Ste 425a Cypress TX 77429-5884 Ph: (832) 912-4481 |
| NPI Number | 1831632975 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1355602988 |
|---|---|
| Medicare Enrollment ID | O20180222002499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831632975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | P5253 (Texas) | Secondary |
| Provider Name | Xue L Keeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982943585 PECOS PAC ID: 4284879016 Enrollment ID: I20130328000108 |
| Provider Name | Babatunde O Adeyefa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699940528 PECOS PAC ID: 1557594280 Enrollment ID: I20140505001891 |
| Provider Name | Brittanie Leigh-anne Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134775315 PECOS PAC ID: 4587094008 Enrollment ID: I20200424001686 |
| Provider Name | Oluwatoke Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134373947 PECOS PAC ID: 6507006814 Enrollment ID: I20230925001649 |
| Provider Name | Tashna Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154071637 PECOS PAC ID: 7719333145 Enrollment ID: I20231020003102 |
| Provider Name | Kacey Nguyen Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598544777 PECOS PAC ID: 1456794197 Enrollment ID: I20240208004284 |
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