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CLYDE FOMUNUNG MD
NPI 1790535128
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since March 26, 2024
6565 FANNIN ST, HOUSTON, TX 77030(713) 441-9000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clyde Fomunung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE FOMUNUNG MD (NPI 1790535128) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1790535128
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCLYDE FOMUNUNGCredential: MD
Location Address6565 FANNIN STHouston, TX 77030-2703
Mailing Address6565 Fannin StHouston, TX 77030-2703 · (713) 441-9000
Phone(713) 441-9000
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1790535128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6565 FANNIN ST, Houston, TX 77030
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMAROULA DILIOGLOU PHD
Specialist/Technologist, Pathology
6565 FANNIN ST, MS205
HOUSTON, TX 77030
Harris County (713) 394-6450
MS. PRISCILLA DIAZ RN
Registered Nurse
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2030
HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 667-6097
LAN ZHOU MD
Pathology (Anatomic Pathology & Clinical Pathology)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 394-6450
DR. AMANDA WALTON BASFORD M.D.
Internal Medicine (Nephrology)
6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030
Harris County (713) 441-0006
MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B
Nurse Practitioner (Acute Care)
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-4999
DR. MAHEEN ADAM WARDAK MD
Anesthesiology
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 441-2194
DR. SHUANG LI M.D.
Hospitalist
6565 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 368-9466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Fomunung's NPI number?

The NPI number for Clyde Fomunung is 1790535128. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Clyde Fomunung located?

Clyde Fomunung practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (713) 441-9000.

What is Clyde Fomunung's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Clyde Fomunung was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.