Organization
AGAPE INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DARAMOLA M.D (DIRECTOR)
(864) 426-2932
Entity
Organization
Contact information
Practice address
6080 S HULEN ST, STE 360 PMB 229, FORT WORTH, TX 76132-2622
(864) 426-2932
Mailing address
6080 S HULEN ST, STE 360 PMB 229, FORT WORTH, TX 76132-2622
(864) 426-2932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N4369
TX
Other
Enumeration date
10/22/2012
Last updated
06/02/2013
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