Kusi Fordjour M.d PA

NPI #1811101348 in Desoto, Texas

Provider Information

NPI Number: 1811101348
Entity Type: Organization
Organization Name: Kusi Fordjour M.d PA
Primary Specialty: Internal Medicine
Enumeration Date: May 10, 2007
Last Updated: May 25, 2011

Practice Location

Address: 2505 BOLTON BOONE DR
Address 2: #101
City: Desoto
State: Texas
ZIP Code: 75115-2013
Phone: (972) 264-9100

Authorized Official

Name: KUSI FORDJOUR, MD
Title: PRESIDENT AND CEO
Phone: (214) 673-3934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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