Gary M. Agena Md Llc

LBN: Gary M. Agena Md Llc
Gary M. Agena Md Llc is an health care organization with primary practice located at 393 Highway 21 Suite 525, Madisonville LA 70447-3407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Gary M. Agena Md Llc can be contacted via phone (985) 845-7121, or through Agena, Gary Michael via phone (985) 845-7121.

Contact Information

Primary practice address
393 Highway 21 Suite 525 Madisonville LA 70447-3407
Phone: (985) 845-7121
Fax: (985) 206-9476
Website:
Map and Directions
Authorized official contact:
Name: Agena, Gary Michael Doctor of Medicine (MD)
Phone: (985) 845-7121

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MD200946 Louisiana

Profile Details

NPI number 1699021410
LBN Legal business name Gary M. Agena Md Llc
DBA Doing business as
Authorized official Agena, Gary Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2012
Last updated Jul 30th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699021410 NPPES
Louisiana MEDICAID 1504050

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