Individual provider · NPI-1

Evelyn Agu

Family Medicine · Texarkana, AR

NPI number1972484897
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1972484897
Entity type
Individual (NPI-1)
Name
Evelyn Agu
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2025
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineP137524NYYes

Practice location

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 903-293-7079 · Fax 870-779-6050

Mailing address

1105 Valley Vista Dr
Irving, TX 75063-9395

Other practice locations

612 Allerton Ave
Bronx, NY 10467-7404

Phone 718-709-0940 · Fax 516-441-6768

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