Provider Demographics
NPI:1033685995
Name:BAKAYOKO, MAKABA (FNP)
Entity Type:Individual
Prefix:
First Name:MAKABA
Middle Name:
Last Name:BAKAYOKO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MAKABA
Other - Middle Name:
Other - Last Name:KONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16701 CREEK BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3752
Mailing Address - Country:US
Mailing Address - Phone:281-265-0409
Mailing Address - Fax:
Practice Address - Street 1:16701 CREEK BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3752
Practice Address - Country:US
Practice Address - Phone:281-265-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily