Individual
AIMEBENOMON OMOYE IDAHOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2443 FILLMORE ST # 38015799, SAN FRANCISCO, CA 94115-1814
(165) 086-5517
(165) 035-2522
Mailing address
1122 W 16TH ST UNIT F, HOUSTON, TX 77008-4785
(317) 702-8812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T5926
TX
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
T5926
TX
Other
Enumeration date
04/15/2019
Last updated
10/08/2025
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