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NPI Code Detail

MEDICARE: DR. ELIZABETH O FALOLA MD

MEDICARE:  DR. ELIZABETH O FALOLA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK0740TX

Other Identifiers

General Provider Information

NPI Number : 1568461309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH O FALOLA MD
Provider Business Mailing Address
First Line : PO BOX 660599
Second Line :
City : DALLAS
State : TX
Zip : 75266-0599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7920 ELMBROOK DR STE 120
Second Line :
City : DALLAS
State : TX
Zip : 75247-4933
Country : US
Telephone Number : 214-590-2800
Fax Number : 214-590-0865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/10/2012

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Directions to “ DR. ELIZABETH O FALOLA MD” Practice Location

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