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Oluwayemisi O Agboola, FNP
Family Nurse Practitioner in Fort Worth, Texas
NPI 1114210648

Oluwayemisi O Agboola is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Oluwayemisi O Agboola practices in Fort Worth, TX and has the professional credentials of FNP. The NPI Number for Oluwayemisi O Agboola is 1114210648 and holds a License No. SP010939 (Texas).

The current practice location address for Oluwayemisi O Agboola is 855 Montgomery St, Fort Worth, TX and can be reached out via phone at 817-702-6100.

Location: 855 Montgomery St, Fort Worth, TX, 76199-0335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114210648
Provider Name
Oluwayemisi O Agboola
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
855 Montgomery St, Fort Worth, TX, 76199-0335
Phone Number
817-702-6100
Fax Number
Provider Enumeration Date
05/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
295160004 05 TX
8562NK 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
855 Montgomery St
City
Fort Worth
State
Texas
Zip
76107-2553
Phone Number
817-702-6100
Fax Number
person
Provider Business Mailing Address Details
Address
855 Montgomery St
City
Fort Worth
State
Texas
Zip
76107-2553
Phone Number
817-702-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP010939 (Pennsylvania)
Definition
Definition to come...
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