Agho, Rukevwe Theodora

Agho, Rukevwe Theodora is an individual health care provider with primary practice located at 2833 Babcock Rd , San Antonio TX 78229-5390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Agho, Rukevwe Theodora can be contacted via phone (210) 450-9890.

Contact Information

Primary practice address
2833 Babcock Rd San Antonio TX 78229-5390
Phone: (210) 450-9890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP141530 Texas

Profile Details

NPI number 1427607696
LBN Legal business name Agho, Rukevwe Theodora
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated May 28th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427607696 NPPES
Texas Other 410153702 CSHCN
Texas MEDICAID 410153701 CSHCN

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