Dr Iyabo A Elemuren-Ogunmuyiwa PA
Family Medicine in Harker Heights, TX. Organization (NPI-2).
Details
- NPI
- 1124569587
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Iyabo A Elemuren-Ogunmuyiwa PA
- Organization subpart
- No
- Enumeration date
- Mar 17, 2017
- Last updated
- Mar 17, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | K4050 | TX | Yes |
Practice location
813 S Amy LnSuite 101
Harker Heights, TX 76548-1953
Phone 254-699-8521 · Fax 254-213-1509
Mailing address
813 S Amy LnSuite 101
Harker Heights, TX 76548-1953
Phone 254-699-8521 · Fax 254-213-1509
Authorized official
Iyabo A Elemuren-Ogunmuyiwa
Owner
2546998521
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Family Medicine Physician providers in Harker Heights · All 1,024 providers in Harker Heights
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