Individual
ABIARA VANESSA AGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(844) 424-4537
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
FA7277189
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2016
Last updated
12/31/2024
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