Victoria Omolara Agboghai

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1211228 Issued in TX

Practice address

4613 White Oak LN
Oak Point, TX 75068-2095

Phone

(240) 413-0112

NPI assigned

Jul 10, 2019

Reactivated

Oct 17, 2025

Last updated

Oct 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1619529641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 WHITE OAK LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750682095",
            "telephone_number": "240-413-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 WHITE OAK LN",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "750682095",
            "telephone_number": "240-413-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBOGHAI",
        "first_name": "VICTORIA",
        "middle_name": "OMOLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "deactivation_date": "2020-05-19",
        "reactivation_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1211228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 380 Mobility
• Okenye Lawrence Agboghai
• Caroline Awad, PHARMD
• Amy Braswell
• Mary E Cabral, RD/LD
• Brenda June Casey, LCSW
• City of Oak Point Texas

• Registered Nurse in Oak Point, TX
• Providers in Oak Point, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.