Organization
CLINICS OF NORTH TEXAS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AGYEPONG MD (PRESIDENT)
(940) 397-5490
Entity
Organization
Contact information
Practice address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Mailing address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720067358
—
TX
Enumeration date
01/12/2006
Last updated
06/12/2024
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