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MOFOLUWASO IBIWOYE MD
NPI 1952976292
Student in an Organized Health Care Education/Training Program in Longview, TX

Active since May 20, 2021
701 E MARSHALL AVE STE 400, LONGVIEW, TX 75601(903) 315-5600 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mofoluwaso Ibiwoye Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOFOLUWASO IBIWOYE MD (NPI 1952976292) is an individual student in an organized health care education/training program in Longview, Texas, licensed in Texas (BP10075219) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1952976292
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOFOLUWASO IBIWOYECredential: MD
Location Address701 E MARSHALL AVE STE 400Longview, TX 75601-5595
Mailing Address701 E Marshall Ave Ste 400Longview, TX 75601-5595 · (903) 315-5171
Phone(903) 315-5600
Sole ProprietorNo
Enumeration DateMay 20, 2021
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1952976292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10075219
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
701 E MARSHALL AVE STE 400, Longview, TX 75601
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IBRAHEEM AZHAR
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-2000
SHAHRYAR SYED MD
Internal Medicine
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-1696
DANIEL CHOI PARK DO
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 357-1434
APRIL ELAINE WALNOFER DO
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-1696
MENKEOMA LAURA OKOLI MD
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-1696
ADWOA AGYEI
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-5171
BRIAN SEAN ISKRA MD
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-2000
BRIAN-CUONG LE
Student in an Organized Health Care Education/Training Program
701 E MARSHALL AVE STE 400
LONGVIEW, TX 75601
Gregg County (903) 315-1696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mofoluwaso Ibiwoye's NPI number?

The NPI number for Mofoluwaso Ibiwoye is 1952976292. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Mofoluwaso Ibiwoye located?

Mofoluwaso Ibiwoye practices at 701 E Marshall Ave Ste 400, Longview, TX 75601. The listed phone number is (903) 315-5600.

What is Mofoluwaso Ibiwoye's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mofoluwaso Ibiwoye was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.