NPI

Kwame Boakye Agyeman

NPI 1285863753

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D.
Type
Individual
Enumeration date
2009-07-06
Last updated
2025-09-05

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Specialties

Licenses

License ND
19160
License OH
93466
License IA
38410
License GA
62878
License TX
N3419
License IN
01066537A

Location

Practice location
700 E Marshall Ave
City
Longview TX
Postal code
75601-5580
Phone
(903) 315-1488

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Longview, TX. 2,893 records in the public file.

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