Provider Demographics
NPI:1811534001
Name:BATOU, EYONG
Entity type:Individual
Prefix:
First Name:EYONG
Middle Name:
Last Name:BATOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 SIERRA BLANCA DR APT 1705
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1547
Mailing Address - Country:US
Mailing Address - Phone:347-397-5294
Mailing Address - Fax:
Practice Address - Street 1:6403 SIERRA BLANCA DR APT 1705
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1547
Practice Address - Country:US
Practice Address - Phone:347-397-5294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver