Agwagom, Emmanuel

Agwagom, Emmanuel is an individual health care provider with primary practice located at 1515 Grey Willow Ln , Arlington TX 76002-4633. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Agwagom, Emmanuel can be contacted via phone (817) 719-3775.

Contact Information

Primary practice address
1515 Grey Willow Ln Arlington TX 76002-4633
Phone: (817) 719-3775
Fax: (817) 704-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 742099 Texas
Nursing Service Providers / Community Health 163WC1500X 26NR11805800 New Jersey
Other Service Providers / Case Manager/Care Coordinator 171M00000X 742099 Texas

Profile Details

NPI number 1114249299
LBN Legal business name Agwagom, Emmanuel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Feb 17th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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