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Individual

DR. YOMI J FAYIGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5236 W UNIVERSITY DR STE 1000, MCKINNEY, TX 75071-8106
(972) 542-8609
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
H9921
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128623908
TX
05
128623909
TX
01
P01202005
RAILROAD MEDICARE
TX
Enumeration date
08/01/2006
Last updated
05/25/2017
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