Agena, Valerie A

Agena, Valerie A is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Agena, Valerie A can be contacted via phone (817) 735-2200.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107
Phone: (817) 735-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M2526 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X M2526 Texas

Profile Details

NPI number 1669498481
LBN Legal business name Agena, Valerie A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 13th, 2019 - about 5 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 1669498481 NPPES
Texas MEDICAID 182440010
Texas MEDICAID 182440105
Texas Other M2526
Texas MEDICAID 182440102

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