Individual
CHARLES O JAIYEOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1866 KELLER PKWY, KELLER, TX 76248-3764
(682) 224-3748
(682) 841-0039
Mailing address
800 8TH AVE STE 306, FORT WORTH, TX 76104-2602
(682) 224-3748
(682) 841-0039
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036174125
IL
207RG0100X
Gastroenterology Physician
4301094929
MI
207RG0100X
Gastroenterology Physician
Primary
T9412
TX
Other
Enumeration date
07/07/2009
Last updated
07/22/2025
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