Individual
DR. OYEYEMI ADETOKUNBO FABUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 SOUTH ADAMS STREET, SUITE 200, FORT WORTH, TX 76104-2151
(817) 332-7600
(817) 332-7606
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9188
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L9188
TX
207RP1001X
Pulmonary Disease Physician
L9188
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L9188
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168743603
—
TX
01
—
P00991901
RAILROAD MEDICARE
TX
Enumeration date
01/24/2006
Last updated
08/27/2019
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