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Fodie Koita

NPI 1396537544 · on the registry since 2025

Practice

Address
810 Washington Ave
Suite 800
Waco, TX 76701
Phone
(215) 910-6080

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas