Fagbohun, C. Funsho

Fagbohun, C. Funsho is an individual health care provider with primary practice located at 1601 Liberty St Suite A, Richmond TX 77469-3252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fagbohun, C. Funsho can be contacted via phone (281) 342-6962.

Contact Information

Primary practice address
1601 Liberty St Suite A Richmond TX 77469-3252
Phone: (281) 342-6962
Fax: (281) 342-6963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K3176 Texas

Profile Details

NPI number 1629016415
LBN Legal business name Fagbohun, C. Funsho
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629016415 NPPES
Texas MEDICAID 141965701

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