Individual
ENIOLA MUDASIRU DAWODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21214 NORTHWEST FWY, SUITE 220, CYPRESS, TX 77429-3373
(832) 912-3600
Mailing address
PO BOX 765, INDIANAPOLIS, IN 46206-0765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P8513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344163601
—
TX
05
—
344163602
—
TX
01
—
344163603
CSHCN
TX
Enumeration date
08/18/2007
Last updated
08/01/2016
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