| NPI | 1386978864 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-09-30 |
| Last Updated | 2022-09-06 |
| Mailing Address | 7240 Roble Grand Prairie, TX 75054-0100 United States Phone: (347) 247-2959 📍 View Map |
| Primary Practice Address | 105 Kathryn Dr Bldg 3 Lewisville, TX 75067-4216 United States Phone: (800) 972-0643 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363LP0808X – Nurse Practitioner, Psych/Mental Health | TX | 1052379 |
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | WA | AP61183839 |
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About NPI 1386978864
Hendricks Agwu is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386978864. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Lewisville, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1386978864?
NPI 1386978864 belongs to Hendricks Agwu, a Nurse Practitioner, Psych/Mental Health in Lewisville, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1386978864 active?
The current status of NPI 1386978864 in the NPPES registry is Active. The record was last updated on 2022-09-06.
What specialty is NPI 1386978864?
NPI 1386978864 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1386978864?
You can verify NPI 1386978864 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1386978864?
The primary practice address on file for NPI 1386978864 is 105 Kathryn Dr Bldg 3, Lewisville, TX 75067-4216. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1386978864 issued?
NPI 1386978864 was first issued (enumerated) on 2009-09-30. The NPPES record was last updated on 2022-09-06.
Practice Location Map
Hendricks Agwu is located at 105 Kathryn Dr Bldg 3, Lewisville, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Hendricks Agwu. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1386978864. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Psych/Mental Health | 1052379 | TX |
| Nurse Practitioner, Psych/Mental Health | AP61183839 | WA |