Provider Demographics
NPI:1780173468
Name:FONHOUE, BOREL SEDIMEE (MD)
Entity type:Individual
Prefix:
First Name:BOREL
Middle Name:SEDIMEE
Last Name:FONHOUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 VALLEY WOOD DR STE A200
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3673
Mailing Address - Country:US
Mailing Address - Phone:832-446-0301
Mailing Address - Fax:832-446-0302
Practice Address - Street 1:200 VALLEY WOOD DR STE A200
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3673
Practice Address - Country:US
Practice Address - Phone:832-446-0301
Practice Address - Fax:832-446-0302
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT9109207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology