Individual provider · Type 1 NPI

Rukevwe Theodora Agho, NP

Gerontology Nurse Practitioner · San Antonio, TX

NPI number 1427607696 Active

Practice location

2833 Babcock Rd
San Antonio, TX 78229-5390

Mailing address

2810 Babcock Rd Apt 1237
San Antonio, TX 78229-0026

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAP141530 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1427607696

Rukevwe Theodora Agho, NP's National Provider Identifier is 1427607696, issued on Sep 10, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Antonio, TX. The record was last updated on May 28, 2020.