Individual
IHUOMA AKUESU AGUORU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12318 THOMPKINS DR, AUSTIN, TX 78753-7016
(512) 299-1679
Mailing address
12318 THOMPKINS DR, AUSTIN, TX 78753-7016
(512) 299-1679
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1139055
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1139055
TX
Other
Enumeration date
11/07/2023
Last updated
05/22/2024
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