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General NPI Number Information
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NPI Number | 1942258116
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Entity Type | Individual
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Provider Name | AGUSTIN A GARCIA CABALLERO MONGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 52579 HIGHWAY 51 S
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City | INDEPENDENCE
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State | LA
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Zip | 70443-2231
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Country | US
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Telephone | 985-878-9421
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Fax | 985-878-1306
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Provider Business Mailing Address
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Address Line | PO BOX 919313
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City | DALLAS
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State | TX
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Zip | 75391-9313
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Country | US
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Telephone | 855-707-1542
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Fax | 337-237-5102
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A52720
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD.207740
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License Number State | LA
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