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NPI Code Detail

MEDICARE: DR. ONYINYE A AGIM M.D.

MEDICARE: DR. ONYINYE A AGIM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianN2360TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518121532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ONYINYE A AGIM M.D.
Provider Business Mailing Address
First Line : 8314 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-541-0095
Fax Number : 713-541-0199
Provider Business Practice Location Address
First Line : 8314 SOUTHWEST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1603
Country : US
Telephone Number : 713-541-0095
Fax Number : 713-541-0199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 04/22/2016

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