Agan, Dustin
Agan, Dustin is an individual health care provider with primary practice located at 1125 Cypress Station Dr Ste 4 , Houston TX 77090. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Agan, Dustin can be contacted via phone (713) 897-7221.Contact Information
Primary practice address
1125 Cypress Station Dr Ste 4
Houston TX 77090
Phone: (713) 897-7221
Fax: (713) 897-7235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01062042A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L6250 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L6250 | Texas |
Profile Details
| NPI number | 1982895850 |
|---|---|
| LBN Legal business name | Agan, Dustin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Aug 15th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982895850 | NPPES |
| Texas | MEDICAID | 177620502 | |
| Texas | MEDICAID | 177620503 | |
| Texas | Other | P00922566 | |
| Texas | Other | 8CQ774 | |
| Texas | Other | 8CW772 |
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