NPI 1659710044 · live from the CMS NPI Registry
Iyunoluwa Agboola, M.D
Family Medicine in San Antonio, TX. National Provider Identifier 1659710044, active.
NPI record
| NPI | 1659710044 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2121 Sw 36th St, San Antonio, TX 78237 |
| Practice phone | 210-358-5100 |
| Mailing address | Po Box 734812, Dallas, TX 75373 |
| Enumerated | June 18, 2013 |
| Last updated | May 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | MT203859 (PA) |
| Family Medicine primary | 207Q00000X | Q9102 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.