Agana, Benjamin T

Agana, Benjamin T is an individual health care provider with primary practice located at 9200 Pinecroft Dr Ste.# 360, Shenandoah TX 77380-3279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Agana, Benjamin T can be contacted via phone (281) 419-3366.

Contact Information

Primary practice address
9200 Pinecroft Dr Ste.# 360 Shenandoah TX 77380-3279
Phone: (281) 419-3366
Fax: (281) 419-2233
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J4680 Texas

Profile Details

NPI number 1063455111
LBN Legal business name Agana, Benjamin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 4th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063455111 NPPES
Texas MEDICAID 096845503
Texas Other 8A2610
Texas Other 250012118

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