institution
Gary M. Agena Md Llc
Health Service Clinic/Center in Madisonville, Louisiana
NPI 1699021410

Gary M. Agena Md Llc is a Health Service Clinic/Center based in Madisonville, LA and is specialized in Health Service. Gary M. Agena Md Llc practices in Madisonville, LA. The NPI Number for Gary M. Agena Md Llc is 1699021410 and holds a License No. MD200946 (Louisiana).

The current practice location address for Gary M. Agena Md Llc is 393 Highway 21, Madisonville, LA and can be reached out via phone at 985-845-7121 and via fax at 985-206-9476.

Location: 393 Highway 21, Madisonville, LA, 70447-3407
institution
Provider Profile Details
NPI Number
1699021410
Provider Name
Gary M. Agena Md Llc
Credential
Provider Entity Type
Organization
Address
393 Highway 21, Madisonville, LA, 70447-3407
Phone Number
985-845-7121
Fax Number
985-206-9476
Provider Enumeration Date
07/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1504050 05 LA
institution
Provider Business Practice Location Address Details
Address
393 Highway 21
City
State
Zip
70447-3407
Phone Number
985-845-7121
Fax Number
985-206-9476
person
Provider Business Mailing Address Details
Address
393 Highway 21
City
State
Zip
70447-3407
Phone Number
985-845-7121
Fax Number
985-206-9476
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
MD200946 (Louisiana)
Definition
Definition to come...
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