NPI 1962603639 · live from the CMS NPI Registry
Nnenna Gebechi Agim, MD
Dermatology in Dallas, TX. National Provider Identifier 1962603639, active.
NPI record
| NPI | 1962603639 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231 |
| Practice phone | 214-420-7070 |
| Mailing address | 801 York St, Manitowoc, WI 54220 |
| Enumerated | May 30, 2007 |
| Last updated | May 17, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | M8472 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.