Individual
SCHARLES ALICIA KONADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 W MAGNOLIA AVE STE 100, FORT WORTH, TX 76104-8518
(817) 870-7300
(817) 533-4704
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R8397
TX
Other
Enumeration date
04/08/2011
Last updated
08/19/2024
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