Vera Agbigbe
Nurse Practitioner, Family in Irving, TX. Individual provider (NPI-1).
NPI number1053762559
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1053762559
- Entity type
- Individual (NPI-1)
- Name
- Vera Agbigbe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2016
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP130542 | TX | Yes |
Practice location
6363 N State Highway 161 Ste 100Irving, TX 75038-2239
Phone 469-200-3272
Mailing address
3503 Pecos WayGrand Prairie, TX 75052-7850
Phone 314-258-0490
Other practice locations
3503 Pecos Way
Grand Prairie, TX 75052-7850
Grand Prairie, TX 75052-7850
Phone 314-258-0490
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