KUSI FORDJOUR M.D PA
Osteopathic Medicine at Bolton Boone Dr, Desoto, TX

License number
Texas L0177
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: KUSI FORDJOUR MD
Title: PRESIDENT AND CEO
Phone: (214) 673-3934
Address
Address 2
2505 Bolton Boone Dr #101, Desoto, TX 75115
PO Box 93597, Grapevine, TX 76092
National Provider ID: 1811101348
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KUSI FORDJOUR M.D PA at bizstanding.com

KUSI FORDJOUR, M.D., PA

308 Clariden Rnch Rd, Southlake, TX 76092

Doing business as:
Kusi Fordjour, M.D., PA
Registration:
Aug 1, 2003
State ID:
0800231363
Business type:
Professional Association
President , Director , Member , Secretary, Treasurer, Vice-President:
Kusi Fordjour (President , Director , Member , Secretary, Treasurer, Vice-President)
TIN:
32035740961

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