Provider Demographics
NPI:1043517048
Name:ALPHA PULMONARY CONSULTANTS
Entity Type:Organization
Organization Name:ALPHA PULMONARY CONSULTANTS
Other - Org Name:APC PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OYEYEMI
Authorized Official - Middle Name:A
Authorized Official - Last Name:FABUYI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-624-3063
Mailing Address - Street 1:508 S ADAMS ST STE 218
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2151
Mailing Address - Country:US
Mailing Address - Phone:817-624-3063
Mailing Address - Fax:
Practice Address - Street 1:221 W EXCHANGE AVE STE 301
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-9614
Practice Address - Country:US
Practice Address - Phone:817-624-3063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty