Individual
DR. ANGELA WALLACE FADAHUNSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 S HIGHWAY 78 STE 102, WYLIE, TX 75098
(972) 954-9826
Mailing address
611 S HIGHWAY 78 STE 102, WYLIE, TX 75098-4085
(972) 954-9826
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
R5721
TX
207R00000X
Internal Medicine Physician
R5721
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
06/13/2024
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