Bayoucity Physicians Pllc | |
8727 W Rayford Rd Ste 160 Spring TX 77389-5440 | |
(281) 547-8880 | |
(772) 264-0600 |
Full Name | Bayoucity Physicians Pllc |
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Speciality | Family Medicine |
Location | 8727 W Rayford Rd Ste 160, Spring, Texas |
Authorized Official Name and Position | Ismail Adesanya (CO-MEDICAL DIRECTOR) |
Authorized Official Contact | 2815478880 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bayoucity Physicians Pllc 8727 W Rayford Rd Ste 160 Spring TX 77389-5440 Ph: (281) 547-8880 | Bayoucity Physicians Pllc 8727 W Rayford Rd Ste 160 Spring TX 77389-5440 Ph: (281) 547-8880 |
NPI Number | 1346734258 |
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Provider Enumeration Date | 06/15/2018 |
Last Update Date | 08/07/2023 |
Medicare PECOS PAC ID | 9931444809 |
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Medicare Enrollment ID | O20181220002421 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346734258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Ismail Adesanya |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740412840 PECOS PAC ID: 1658522578 Enrollment ID: I20130808000727 |
Provider Name | Christopher Sunday Ayeni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649437716 PECOS PAC ID: 5496887150 Enrollment ID: I20130913000722 |
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