Individual
DR. EDMOND NKETTI FOMUNUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 645-3597
(214) 645-0078
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-3597
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
Q3184
TX
Other
Enumeration date
10/05/2011
Last updated
01/30/2017
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