Individual
DR. ENIOLA OLADOSU FAGBONGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
57.028708
OH
2085R0202X
Diagnostic Radiology Physician
Primary
U6233
TX
208600000X
Surgery Physician
BP10052972
TX
Other
Enumeration date
04/22/2015
Last updated
01/20/2026
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