Adesubomi Agoro MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

K2394 Issued in TX

Legal business name

ADESUBOMI AGORO MD PA

Practice address

1100 Pennsylvania Avenue
Fort Worth, TX 76104-2120

Phone

(817) 763-5550

Fax

(817) 763-5715

NPI assigned

Jan 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adesubomi Agoro

Title

Owner

Phone

(817) 763-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1588994875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PENNSYLVANIA AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042120",
            "telephone_number": "817-763-5550",
            "fax_number": "817-763-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PENNSYLVANIA AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042120",
            "telephone_number": "817-763-5550",
            "fax_number": "817-763-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADESUBOMI AGORO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "AGORO",
        "authorized_official_first_name": "ADESUBOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-763-5550"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE NUMBER",
            "identifier": "K2394",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adewale Oluwaseun Adeniran, M.D.
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• Adequate Angels Transportation LLC
• Rufus Babatomiwa Aderounmu, MD
• Adebola O Adesanya, MD
• Oluwatomilayo Adewale, RN
• Thomas Olabode Adewale, LVN
• Dare Alabi Adewumi, M.D.
• Oluwatosin O Adewumi, FNP
• Tope Anthony Adeyomola, PMHNP-BC

• Pulmonary Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.