Individual ProviderAbiara Vanessa AgwuPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(844) 424-4537PECOS EnrollmentBased on the most recent information from CMS, provider Abiara Vanessa Agwu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1023466604Provider TypeIndividualFull NameAgwu, Abiara VanessaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/24/2016Last Updated12/31/2024Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(844) 424-4537FaxUnlisted FaxMailing LocationMailing Address1919 E Thomas Rd, Phoenix, AZ 85016-7710PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseFA7277189TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer