Individual
MRS. BEATRICE O AGBEBAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7739 FALCON OAK DR, SAN ANTONIO, TX 78249
(210) 310-9644
(210) 949-0281
Mailing address
9603 NEW KENT DR, SUGAR LAND, TX 77498-1039
(210) 310-9644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758888
TX
363LF0000X
Family Nurse Practitioner
AP140088
TX
372500000X
Chore Provider
758888
TX
Other
Enumeration date
05/11/2010
Last updated
02/22/2019
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