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General NPI Number Information
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NPI Number | 1316300106
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Entity Type | Individual
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Provider Name | AGNES USORO MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 2111 WEST LOOP S STE 370
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City | HOUSTON
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State | TX
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Zip | 77027-3647
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Country | US
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Telephone | 346-741-6772
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Fax | 346-781-6772
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Provider Business Mailing Address
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Address Line | 39 CADENCE CT
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City | RICHMOND
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State | TX
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Zip | 77469-2003
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Country | US
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Telephone | 832-466-9714
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Fax | 667-239-6176
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D87725
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | T8737
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License Number State | TX
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