Provider Demographics
NPI:1922991165
Name:JOIYEN MEDICAL, PLLC
Entity type:Organization
Organization Name:JOIYEN MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMORAGBON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:469-949-6080
Mailing Address - Street 1:4157 BEDFORD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5228
Mailing Address - Country:US
Mailing Address - Phone:469-949-6080
Mailing Address - Fax:
Practice Address - Street 1:2200 AIRPORT FWY STE 550
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6064
Practice Address - Country:US
Practice Address - Phone:469-949-6080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOIYEN MEDICAL, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care