Individual
FAUZIAT TOLULOPE UGOANSUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(607) 280-6908
Mailing address
615 E HOUSTON ST, SAN ANTONIO, TX 78205-2001
(210) 916-8666
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2022
Last updated
05/07/2025
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