Organization
C.FUNSHO FAGBOHUN,MD,PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C FUNSHO FAGBOHUN M.D., PH.D (OWNER)
(281) 342-6962
Entity
Organization
Contact information
Practice address
1601 LIBERTY ST STE A, RICHMOND, TX 77469-3252
(281) 342-6962
(281) 342-6963
Mailing address
1601 LIBERTY ST STE A, RICHMOND, TX 77469-3252
(281) 342-6962
(281) 342-6963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K3176
TX
Other
Enumeration date
08/31/2009
Last updated
03/19/2015
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