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Adesubomi Agoro MD PA

Internal Medicine, Pulmonary Disease in Fort Worth, TX. Organization (NPI-2).

NPI number1588994875
StatusActive
Last updated in NPPESFeb 22, 2010

Details

NPI
1588994875
Entity type
Organization (NPI-2)
Legal business name
Adesubomi Agoro MD PA
Organization subpart
No
Enumeration date
Jan 8, 2010
Last updated
Feb 22, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
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 codeDescriptionLicenseStatePrimary
207RP1001X Internal Medicine, Pulmonary DiseaseK2394TXYes

Practice location

1100 Pennsylvania Avenue
Fort Worth, TX 76104-2120

Phone 817-763-5550 · Fax 817-763-5715

Mailing address

1100 Pennsylvania Avenue
Fort Worth, TX 76104-2120

Phone 817-763-5550 · Fax 817-763-5715

Authorized official

Adesubomi Agoro
Owner
8177635550

Is something wrong?

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