Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANGELA WALLACE FADAHUNSI, MD
Active Sole ProprietorDR. ANGELA WALLACE FADAHUNSI, MD is a Allergy & Immunology healthcare provider located in WYLIE, Texas. NPI 1780028951 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · WYLIE, TX
Registration Details
- NPI Number
- 1780028951
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2013 (13.357942282765 yrs)
- Last Updated
- Jun 13, 2024
- Licenses
-
R5721 (TX)R5721 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
611 S HIGHWAY 78 STE 102WYLIE, TX, 75098Browse TX providers · Browse ZIP 75098
- Phone
- 9729549826
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Allergy & Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.