Adesubomi Agoro Md Pa

LBN: Adesubomi Agoro Md Pa
Adesubomi Agoro Md Pa is an health care organization with primary practice located at 1100 Pennsylvania Avenue , Fort Worth TX 76104-2120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Adesubomi Agoro Md Pa can be contacted via phone (817) 763-5550, or through Agoro, Adesubomi via phone (817) 763-5550.

Contact Information

Primary practice address
1100 Pennsylvania Avenue Fort Worth TX 76104-2120
Phone: (817) 763-5550
Fax: (817) 763-5715
Website:
Map and Directions
Authorized official contact:
Name: Agoro, Adesubomi
Phone: (817) 763-5550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K2394 Texas

Profile Details

NPI number 1588994875
LBN Legal business name Adesubomi Agoro Md Pa
DBA Doing business as
Authorized official Agoro, Adesubomi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Feb 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588994875 NPPES
Texas Other K2394 TEXAS LICENSE NUMBER

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