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Contact Information

EMMANUEL AGWAGOM, RN
1515 GREY WILLOW LN
ARLINGTON, TX76002-4633
 Phone: 817-719-3775
 Fax: 817-704-4046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community Health

163WC1500X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for EMMANUEL AGWAGOM · (Male)

NPI # 1114249299
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/17/2010
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NR11805800
  • TX License # 742099
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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