Individual
TAIWO ADESOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
S4907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417367601
—
TX
01
—
417367602
CSHCN MEDICAID
TX
01
—
8NP207
BCBS (OTHER)
TX
Enumeration date
04/24/2012
Last updated
09/17/2024
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