# C.FUNSHO FAGBOHUN,MD,PHD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932332426
- **Authorized official:** DR. C FUNSHO FAGBOHUN M.D., PH.D (OWNER)
- **Authorized official phone:** (281) 342-6962

## Contact information

- **Practice address:** 1601 LIBERTY ST STE A, RICHMOND, TX 77469-3252
- **Practice address phone:** (281) 342-6962
- **Practice address fax:** (281) 342-6963
- **Mailing address:** 1601 LIBERTY ST STE A, RICHMOND, TX 77469-3252
- **Mailing address phone:** (281) 342-6962
- **Mailing address fax:** (281) 342-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | K3176 | TX | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 03/19/2015