Individual
DR. ELIZABETH O FALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7920 ELMBROOK DR STE 120, DALLAS, TX 75247-4933
(214) 590-2800
(214) 590-0865
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124317202
—
TX
05
—
124317207
—
TX
05
—
124317209
—
TX
05
—
124317210
—
TX
05
—
124317211
—
TX
05
—
124317213
—
TX
05
—
124317214
—
TN
05
—
124317215
—
TX
05
—
124317217
—
TN
05
—
124317218
—
TX
05
—
124317220
—
TX
05
—
124317221
—
TX
Enumeration date
07/14/2005
Last updated
11/10/2012
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