Provider Demographics
NPI:1093189094
Name:OSEI AKOTO, BAFFOUR
Entity Type:Individual
Prefix:DR
First Name:BAFFOUR
Middle Name:
Last Name:OSEI AKOTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 N LEE TREVINO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4107
Mailing Address - Country:US
Mailing Address - Phone:915-594-1129
Mailing Address - Fax:
Practice Address - Street 1:1831 N LEE TREVINO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4107
Practice Address - Country:US
Practice Address - Phone:915-594-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-14
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55285183500000X
NMRP00008327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist