Agoro, Adesubomi

Agoro, Adesubomi is an individual health care provider with primary practice located at 1100 Pennsylvania Ave , Fort Worth TX 76104-2120. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Agoro, Adesubomi can be contacted via phone (817) 763-5550.

Contact Information

Primary practice address
1100 Pennsylvania Ave Fort Worth TX 76104-2120
Phone: (817) 763-5550
Fax: (817) 870-1280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K2394 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X K2394 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X K2394 Texas

Profile Details

NPI number 1073583076
LBN Legal business name Agoro, Adesubomi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 2nd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073583076 NPPES
Texas MEDICAID 045359901

Popular Providers