Provider Demographics
NPI:1275034720
Name:ABIKOYE, TEMILOLUWA MOYOSOREOLUWA (MD)
Entity Type:Individual
Prefix:MS
First Name:TEMILOLUWA
Middle Name:MOYOSOREOLUWA
Last Name:ABIKOYE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST STE 2A100
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-2970
Mailing Address - Country:US
Mailing Address - Phone:806-743-2020
Mailing Address - Fax:806-743-2471
Practice Address - Street 1:3601 4TH ST STOP 7217
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-2970
Practice Address - Country:US
Practice Address - Phone:806-743-3067
Practice Address - Fax:806-743-2471
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47453207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology