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NPI 1194728154

NPI 1194728154 : MICHAEL O LAGRONE M.D. : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1194728154
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL O LAGRONE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2005
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    705 QUAIL CREEK DR 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-1608
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    Country              |    US
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    Telephone            |    806-353-6400
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    Fax                  |    806-354-2956
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Provider Business Mailing Address
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    Address Line         |    705 QUAIL CREEK DR 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-1608
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    Country              |    US
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    Telephone            |    806-353-6400
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    Fax                  |    806-354-2956
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    F6852
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    F6852
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207XS0114X
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    Taxonomy Name        |    Adult Reconstructive Orthopaedic Surgery Physician
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    License Number       |    F6852
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    License Number State |    TX
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