Individual
GWENDOLYN RUTH AGBATEKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(512) 828-3990
(512) 241-1277
Mailing address
PO BOX 14002, AUSTIN, TX 78761-4002
(512) 299-3048
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
546739
TX
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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