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NPI Code Detail

MEDICARE: DR. AGNES USORO MD

MEDICARE: DR. AGNES USORO MD
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
1207P00000XEmergency Medicine PhysicianD87725MD
2207P00000XEmergency Medicine PhysicianT8737TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101277444OTHERVALICENSE
2D87725OTHERMDLICENSE
3T8737OTHERTXLICENSE

General Provider Information

NPI Number : 1316300106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AGNES USORO MD
Provider Business Mailing Address
First Line : 39 CADENCE CT
Second Line :
City : RICHMOND
State : TX
Zip : 77469-2003
Country : US
Telephone Number : 832-466-9714
Fax Number : 667-239-6176
Provider Business Practice Location Address
First Line : 2111 WEST LOOP S STE 370
Second Line :
City : HOUSTON
State : TX
Zip : 77027-3647
Country : US
Telephone Number : 346-741-6772
Fax Number : 346-781-6772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2016
Last Update Date : 11/08/2025

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