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General NPI Number Information
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NPI Number | 1396771879
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Entity Type | Organization
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Legal Business Name | AGANA ASSOCIATES PA
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 13231 CHAMPION FOREST DR STE 101
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City | HOUSTON
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State | TX
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Zip | 77069-2646
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Country | US
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Telephone | 281-419-3366
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Fax | 281-419-2233
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Provider Business Mailing Address
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Address Line | PO BOX 690687
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City | HOUSTON
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State | TX
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Zip | 77269-0687
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Country | US
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Telephone | 281-419-3366
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Fax | 281-580-7583
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | BENJAMIN T AGANA JR.
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Credential | MD
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Telephone | 281-419-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | J4680
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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