Individual
ADAEZE AZWE AGBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2120 ASHLAND ST, HOUSTON, TX 77008-2418
(713) 864-2659
(888) 592-4044
Mailing address
2120 ASHLAND ST, HOUSTON, TX 77008-2418
(713) 864-2659
(888) 592-4044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06212
TEXAS MEDICAL BOARD
TX
Enumeration date
03/25/2010
Last updated
02/14/2025
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