Individual provider · NPI-1

Shirley Orock Ayuk-Takem, D.O.

Internal Medicine, Critical Care Medicine · Cypress, TX

NPI number1710249826
StatusActive
Last updated in NPPESFeb 9, 2023

Details

NPI
1710249826
Entity type
Individual (NPI-1)
Name
Shirley Orock Ayuk-Takem
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2012
Certification date
Feb 9, 2023
Last updated
Feb 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care MedicineR4663TXYes
207R00000X Internal Medicine5101020092MI
207RC0200X Internal Medicine, Critical Care Medicine25MB09707700NJ
207RC0200X Internal Medicine, Critical Care MedicineOS0184466PA
207RC0200X Internal Medicine, Critical Care MedicineA-2143-18NM

Practice location

18618 Southard Oaks Dr
Cypress, TX 77429-7769

Phone 281-671-7636

Mailing address

18618 Southard Oaks Dr
Cypress, TX 77429

Phone 215-833-9637

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