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Contact Information

ADESUBOMI AGORO M.D. P.A.
1339 EAST ST
GRAHAM, TX76450-4228
 Phone: 817-763-5550
 Fax: 817-763-5715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADESUBOMI AGORO M.D. P.A.

NPI # 1902043060
LBN Legal business name ADESUBOMI AGORO M.D. P.A.
Authorized official ADESUBOMI AGORO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2009
Last updated 07/16/2010 - About 16 years ago
Identifiers
TX License # K2394
TX Other K2394 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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