Agboola O Fatiregun
M.D. | Pediatrics | Male
Agboola O Fatiregun, M.D. is a Irving, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Agboola O Fatiregun is
3501 N Macarthur Blvd Ste 450, Irving, Texas - 75062-3651. He can be contacted on phone at
972-786-0330 and fax number 972-739-2894.
Agboola O Fatiregun is a sole proprietor of his business.
NPI number (Unique professional ID) for Agboola O Fatiregun is
1134128101 which was assigned by NPPES on 20 Jul, 2005 and it was last updated on 16 Oct, 2020.
Agboola O Fatiregun license number is
M7173 for Pediatrics (208000000X) in Texas.
Agboola O Fatiregun is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Agboola O Fatiregun basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Agboola O Fatiregun |
|---|
| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Agboola O Fatiregun address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3501 N Macarthur Blvd Ste 450
Irving, TX, 75062-3651
United States |
|---|
| Phone Number : | 972-786-0330 |
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| Fax Number : | 972-739-2894 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134128101 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2005 |
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| Last Updated On : | 16 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Agboola O Fatiregun are as mentioned. Primary taxonomy code for Agboola O Fatiregun, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 220389 | NY |
| 208000000X | Pediatrics | Yes | M7173 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Agboola O Fatiregun such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8W4546 | Other | TX | BLUE CROSS |
| 189208501 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3501 N Macarthur Blvd Ste 500
Irving, TX, 75062-3675
United States |
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| Phone Number : | 972-256-3700 |
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| Fax Number : | 866-630-6348 |
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Business Location:
Patients can refer following map for directions to
Agboola O Fatiregun practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.