P Praxis·MD
● Active Type 1 · Individual

Adebola Temitope Ifafore, M.D

Emergency Medicine·Tyler, TX· NPI 1124296132 · Enumerated 2008 · 18 years on NPI
Ifafore is 1 of 92 emergency medicine providers in Tyler and 1 of 6039 in Texas.
NPI age
18 years
Enumerated 2008-02-12
Primary specialty
Emergency Medicine
Plus 1 subspecialty
Licensed in
TX, CT
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6039 active emergency medicine providers in Texas.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
43% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-02Enumerated in NPPES
2008 2026

Where they practice

Practice location
800 E Dawson St
Tyler, TX 757012036
📞 9035315000
Mailing address
Po Box 841656
Dallas, TX 752847522
📞 9035315000

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    TX license #P4966CT license #046170 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (TX) 323250604
01 (TX) P01246225 RAIL ROAD
05 (TX) 323250602
01 (TX) 8DQ931 BCBS
01 (TX) 8DQ932 BCBS
01 (TX) P01246215 RAIL ROAD
01 (TX) P01246267 RAIL ROAD
01 (TX) P01478949 RAIL ROAD
01 (TX) 8DP930 BCBS
05 (TX) 323250603
05 (TX) 323250601
01 (TX) 8FB278 BCBS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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