Provider Demographics
NPI:1760776694
Name:EKPETE, BIYEBELEMO A (DO)
Entity Type:Individual
Prefix:DR
First Name:BIYEBELEMO
Middle Name:A
Last Name:EKPETE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16635 SPRING CYPRESS RD # 2981
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1713
Mailing Address - Country:US
Mailing Address - Phone:346-291-5204
Mailing Address - Fax:281-715-0511
Practice Address - Street 1:12300 DUNDEE CT STE 116
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8363
Practice Address - Country:US
Practice Address - Phone:346-291-5204
Practice Address - Fax:281-715-0511
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2090207RC0000X, 207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX440965801Medicaid