Provider Demographics
NPI:1134175110
Name:TOKS AKINYEYE, M.D., P.A.
Entity type:Organization
Organization Name:TOKS AKINYEYE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:LOFTIS GOSLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-384-6071
Mailing Address - Street 1:PO BOX 2256
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-2256
Mailing Address - Country:US
Mailing Address - Phone:281-422-9967
Mailing Address - Fax:281-422-1032
Practice Address - Street 1:1661 ROLLINGBROOK DR
Practice Address - Street 2:SUITE A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3666
Practice Address - Country:US
Practice Address - Phone:281-422-9967
Practice Address - Fax:281-422-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0054LCOtherBLUE CROSS
TX163411501Medicaid
TX10019616OtherAMERIGROUP
TXDB3608OtherMEDICARE RR
TX00125WMedicare PIN
TX10019616OtherAMERIGROUP