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Individual

DR. BABATUNDE FRANCIS FAGBAMIYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4800 MEMORIAL DR # 94B, WACO, TX 76711-1329
(254) 297-3575
Mailing address
1320 ARROWFEATHER PASS, LEANDER, TX 78641-1459
(478) 258-5582

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056058
GA
2084P0800X
Psychiatry Physician
R3504
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52186848004
BCBS
GA
05
742988049B
GA
Enumeration date
09/22/2006
Last updated
10/21/2019
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