Kusi Fordjour M.D Pa

LBN: Kusi Fordjour M.D Pa
Kusi Fordjour M.D Pa is an health care organization with primary practice located at 2505 Bolton Boone Dr #101, Desoto TX 75115-2013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kusi Fordjour M.D Pa can be contacted via phone (972) 264-9100, or through Fordjour, Kusi via phone (214) 673-3934.

Contact Information

Primary practice address
2505 Bolton Boone Dr #101 Desoto TX 75115-2013
Phone: (972) 264-9100
Fax: (972) 283-9104
Website:
Map and Directions
Authorized official contact:
Name: Fordjour, Kusi Doctor of Medicine (MD)
Phone: (214) 673-3934

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L0177 Texas

Profile Details

NPI number 1811101348
LBN Legal business name Kusi Fordjour M.D Pa
DBA Doing business as
Authorized official Fordjour, Kusi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated May 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811101348 NPPES
Texas Other 0098MT BCBS
Texas MEDICAID 173380001 BCBS
Texas Other L0177 BCBS

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