Provider Demographics
NPI:1225351141
Name:SANGODEYI, TAIWO STANLEY (RN)
Entity Type:Individual
Prefix:MR
First Name:TAIWO
Middle Name:STANLEY
Last Name:SANGODEYI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 BISSONNET ST
Mailing Address - Street 2:#A3
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5201
Mailing Address - Country:US
Mailing Address - Phone:832-378-0944
Mailing Address - Fax:713-974-0807
Practice Address - Street 1:7900 BISSONNET ST
Practice Address - Street 2:#A3
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5201
Practice Address - Country:US
Practice Address - Phone:832-378-0944
Practice Address - Fax:713-974-0807
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX671527163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse