Provider Demographics
NPI:1174121552
Name:TAIWO A KUYE, MD PA
Entity type:Organization
Organization Name:TAIWO A KUYE, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAIWO
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-431-9601
Mailing Address - Street 1:3006 CYPRESS GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7455
Mailing Address - Country:US
Mailing Address - Phone:956-431-9601
Mailing Address - Fax:
Practice Address - Street 1:7135 N EXPRESSWAY 77 STE C
Practice Address - Street 2:
Practice Address - City:OLMITO
Practice Address - State:TX
Practice Address - Zip Code:78575-5204
Practice Address - Country:US
Practice Address - Phone:956-518-7305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty