Provider Demographics
NPI:1316300106
Name:USORO, AGNES (MD)
Entity type:Individual
Prefix:DR
First Name:AGNES
Middle Name:
Last Name:USORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CADENCE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2003
Mailing Address - Country:US
Mailing Address - Phone:832-466-9714
Mailing Address - Fax:667-239-6176
Practice Address - Street 1:2111 WEST LOOP S STE 370
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3647
Practice Address - Country:US
Practice Address - Phone:346-741-6772
Practice Address - Fax:346-781-6772
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD87725207P00000X
TXT8737207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101277444OtherLICENSE
MDD87725OtherLICENSE
TXT8737OtherLICENSE