Provider Demographics
NPI:1013579176
Name:DURU, AGATHA OGECHI (AGNP)
Entity Type:Individual
Prefix:MRS
First Name:AGATHA
Middle Name:OGECHI
Last Name:DURU
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9888 BISSONNET ST STE 160
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8039
Mailing Address - Country:US
Mailing Address - Phone:713-272-3780
Mailing Address - Fax:713-272-3780
Practice Address - Street 1:9888 BISSONNET ST STE 160
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8039
Practice Address - Country:US
Practice Address - Phone:713-272-3780
Practice Address - Fax:713-272-3748
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141767363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology