Individual
EDITH FATIMA AKINTOKUNBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
146 ELDRIDGE RD STE B, SUGAR LAND, TX 77478-3106
(713) 714-6488
(713) 583-0708
Mailing address
PO BOX 441057, HOUSTON, TX 77244-1057
(712) 714-6488
(713) 583-0708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P9786
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
P9786
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
P9786
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355984103
—
TX
01
—
8GH420
BCBS TX
TX
Enumeration date
06/15/2011
Last updated
12/07/2023
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