Individual
DR. JOSEPH BABAFEMI TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 N GALLOWAY AVE, SUITE 102, MESQUITE, TX 75149-2409
(186) 643-1644
Mailing address
PO BOX 851591, MESQUITE, TX 75185-1591
(186) 643-1644
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20551
MS
207P00000X
Emergency Medicine Physician
Primary
N4774
TX
207Q00000X
Family Medicine Physician
001637
GA
207Q00000X
Family Medicine Physician
01064214A
IN
207Q00000X
Family Medicine Physician
N4774
TX
208M00000X
Hospitalist Physician
01064214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000593162
ANTHEM PROVIDER NUMBER
IN
05
—
08584859
—
MS
05
—
1882330
—
LA
05
—
200922230
—
IN
01
—
8DH023
BCBS OF TX
TX
01
—
P01087657
RAILROAD MEDICARE
TX
Enumeration date
04/09/2008
Last updated
11/30/2012
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