Provider Demographics
NPI:1952945958
Name:AGHO, FAITH NEKPEN
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:NEKPEN
Last Name:AGHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4519 RUSSET LEAF TRCE
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1959
Mailing Address - Country:US
Mailing Address - Phone:713-437-9889
Mailing Address - Fax:
Practice Address - Street 1:4519 RUSSET LEAF TRCE
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1959
Practice Address - Country:US
Practice Address - Phone:713-437-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-01
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169665363LP0808X
TX911015163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health