MEDICARE: DON M LAGRONE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D7135	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	760030120	OTHER	TX	TAX ID
2	00CF41	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255402087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON M LAGRONE M.D.

Provider Business Mailing Address
First Line	:	2246 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1510
Country	:	US
Telephone Number	:	713-630-0930
Fax Number	:	713-630-0934

Provider Business Practice Location Address
First Line	:	2246 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1510
Country	:	US
Telephone Number	:	713-630-0930
Fax Number	:	713-630-0934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/20/2012

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Directions to “ DON M LAGRONE M.D.” Practice Location

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