Sophia Etomi Agbomah, CRNA
Nurse Anesthetist, Certified Registered in Cypress, TX. Individual provider (NPI-1).
NPI number1154080802
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1154080802
- Entity type
- Individual (NPI-1)
- Name
- Sophia Etomi Agbomah
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2021
- Certification date
- Jan 6, 2025
- Last updated
- Jan 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 152950 | TX | Yes |
| 163W00000X | Registered Nurse | 977206 | TX |
Practice location
Memorial Hermann27800 Northwest Fwy,
Cypress, TX 77433
Phone 346-231-4000
Mailing address
7615 Legacy Pines DrCypress, TX 77433-2759
Phone 512-704-3595
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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