Individual
DEBORAH FADOWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11800 ASTORIA BLVD, PEARLAND, TX 77089-6041
(281) 929-6122
Mailing address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301096770
MI
207P00000X
Emergency Medicine Physician
D0076009
MD
207P00000X
Emergency Medicine Physician
Primary
Q2661
TX
Other
Enumeration date
06/15/2010
Last updated
09/16/2024
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