DR. ANGELA WALLACE FADAHUNSI (NPI# 1780028951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780028951 |
| Entity Type | Individual |
| Full Name | DR. ANGELA WALLACE FADAHUNSI |
| Other Name | ANGELA LATRESHA WALLACE |
| Credential | MD |
| Practice Address |
611 S Highway 78 Ste 102 Wylie TX 75098 |
| Mailing Address |
111 N Winding Oaks Dr Wylie TX 75098-4313 |
| Practice Telephone | 9729549826 |
| Mailing Telephone | 3375138678 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | R5721 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | R5721 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 N Winding Oaks Dr, Wylie, TX 750984313 | 3375138678 |
| Street Address |
611 S HIGHWAY 78 STE 102 |
| City | WYLIE |
| State | TX |
| Zip Code | 75098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851926182 | Ashley Michelle Akers | Counselor | 303 Tx-78, #100, Wylie, TX 75098 | 2020-03-06 |
| 1033742762 | Neuro Care LLC | Psychiatry & Neurology | 801 S Tx- 78, Wylie, TX 75098 | 2020-02-21 |
| 1720623515 | Dentalhub of Wylie | Clinic/Center | 3483 W.fm 544, Unit- 112, Wylie, TX 75098 | 2019-11-15 |
| 1780144147 | Rxcare Pharmacy, LLC | Pharmacy | 209 N Ballard Ave, Wylie, TX 75098 | 2019-03-21 |
| 1659830081 | Bv Dental, Pllc | Clinic/Center | 330 S. State Highway 78, Suite 200, Wylie, TX 75098 | 2019-03-15 |
| 1407329352 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8516 Parker Rd E., Wylie, TX 75098 | 2019-01-03 |
| 1396215620 | Lilian Abagwe | Nurse Practitioner | 1108 Ann Dr, Wylie, Wylie, TX 75098 | 2018-11-29 |
| 1114408507 | Stephen Clayton Heath | Occupational Therapy Assistant | 721 Tx-78, Wylie, TX 75098 | 2018-08-24 |
| 1831677400 | Melody Lea Stoker | Physical Therapy Assistant | 3400 Mcmillen Rd Apt 1028, Wylie, TX 75098 | 2018-08-05 |
| 1619465234 | Olufemi Fadahunsi, Dds, PC | Dentist | 2810 W. Fm544, Suite 100, Wylie, TX 75098 | 2018-04-30 |
| Find all providers in zip 75098 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290116 | Bellaire Allergy & Asthma Pllc | Allergy & Immunology | 6750 West Loop S Ste 460, Bellaire, TX 77401-4108 | 2020-06-20 |
| 1437705290 | Pooja Paranjpe Md | Allergy & Immunology | 7150 N George Bush Hwy Ste 204, Garland, TX 75044-2210 | 2019-08-16 |
| 1235798109 | Maryam Saifi, Pllc | Allergy & Immunology | 4001 Barnett Dr, Plano, TX 75024-3421 | 2019-06-13 |
| 1891259016 | Allergy Partners of Texas, Inc | Allergy & Immunology | 3410 Far West Blvd Ste 146, Austin, TX 78731-3167 | 2019-01-23 |
| 1962997650 | Chelsea Lynn Russell | Allergy & Immunology | 540 Madison Oak Dr Ste 210, San Antonio, TX 78258-3920 | 2018-06-26 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1720468416 | Ania K George Md Pa | Allergy & Immunology | 26400 Kuykendahl Rd Ste C220, The Woodlands, TX 77375 | 2015-06-08 |
| 1407234347 | Savannah Leigh Sommerhalder | Allergy & Immunology | 4801 Woodway Dr Ste 120e, Houston, TX 77056-1872 | 2015-05-12 |
| 1093106874 | Allergy Partners of Texas, Inc. | Allergy & Immunology | 7777 Forest Ln Ste B332, Dallas, TX 75230-6822 | 2015-02-14 |
| 1689085854 | South Texas Allergy & Asthma Medical Professionals Pllc | Allergy & Immunology | 10447 Hwy 151, San Antonio, TX 78251-4551 | 2014-05-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.