Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joyce Boluwatife Idehen, MD

Individual provider Registered Nurse · NPI 1215420559

Joyce Boluwatife Idehen, MD is a Family Practice in Pearland, Texas. Qualified in 2021, 5 years ago. Practices with Clear Lake Primary Care PLLC, a 44-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10905 Memorial Hermann Dr Ste 130
Pearland, TX 77584-3773
Phone: (346) 288-8746
Fax: (346) 200-3841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 600 N Kobayashi Ste 110, Webster, TX 77598-4841 — (281) 338-1701
  • 600 N Kobayashi Ste 309, Webster, TX 77598-4841 — (281) 724-8332
  • 500 N Kobayashi Ste F, Webster, TX 77598-4722 — (281) 816-3092

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence W2077 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 865223 (TX)

Record details

NPI number1215420559
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2018
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Clear Lake Primary Care Pllc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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