Search › Texas › 207RG0100X

Charles Jaiyeoba, MD

NPI 1942439336 · on the registry since 2009

Practice

Address
1866 Keller Pkwy
Keller, TX 76248
Phone
(682) 224-3748
Fax
(682) 841-0039
Clinicians at this address
4

Additional practice sites

  • 1 Medical Park Blvd, Bristol, TN
  • 800 8th Ave Ste 306, Fort Worth, TX
  • 130 W Ravine Rd, Kingsport, TN
  • 4309 W Medical Center Dr Ste B202, Mchenry, IL

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207R00000X
207RG0100X
207RG0100X
207RG0100X
Licence states on file
TN, MI, IL, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas