Individual
DR. EDWARD D AGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH ST, SUITE 300, DALLAS, TX 75246-2003
(214) 370-1513
(214) 370-1585
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J5681
TX
207RX0202X
Medical Oncology Physician
J5681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021710A
—
OK
05
—
132167102
—
TX
05
—
132167107
—
TX
05
—
80122825
—
NM
01
—
8R1381
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
09/01/2011
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