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NPI Code Detail

MEDICARE: AG PSYCHIATRY

MEDICARE: AG PSYCHIATRY
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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
32084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1396521027
Entity Type Code : Organization
Provider Name (Legal Business Name) : AG PSYCHIATRY
Provider Business Mailing Address
First Line : 2781 AUTUMN LN
Second Line :
City : FRISCO
State : TX
Zip : 75036-4328
Country : US
Telephone Number : 516-710-2906
Fax Number :
Provider Business Practice Location Address
First Line : 2601 LITTLE ELM PKWY STE 2503
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-6706
Country : US
Telephone Number : 516-710-2906
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : DR. PRATIBHA AGARWAL
Credential : MD
Telephone Number : 516-710-2906
Provider Enumeration Date : 09/07/2023
Last Update Date : 04/22/2026

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