Organization · Type 2 NPI
Gary M. Agena MD LLC
Health Service Clinic/Center · Madisonville, LA
NPI number
1699021410
Active
Practice location
393 Highway 21, Suite 525
Madisonville, LA 70447-3407
Fax (985) 206-9476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | MD200946 (LA) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1699021410
Gary M. Agena MD LLC's National Provider Identifier is 1699021410, issued on Jul 30, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Madisonville, LA. The record was last updated on Jul 30, 2012.