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DR. ADESUBOMI AGORO M.D. NPI 1073583076


NPI Information

NPI: 1073583076
Provider Name: DR. ADESUBOMI AGORO, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
1100 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 763-5550
Get Directions

DR. Adesubomi Agoro, M.D. is a pulmonary disease internal medicine in Fort Worth, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Adesubomi Agoro, M.D. NPI is 1073583076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-120
Phone: (817) 763-5550
Fax: (817) 870-1280

The NPI 1073583076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 3/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineK2394TEXASNo
2207RC0200XInternal MedicineCritical Care MedicineK2394TEXASNo
3207RP1001XInternal MedicinePulmonary DiseaseK2394TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G08509MEDICARE UPINTEXAS
286Z534MEDICARE ID-TYPE UNSPECIFIEDTEXAS
38L0613MEDICARE PINTEXAS
48F9578MEDICARE PINTEXAS
5045359901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.