MEDICARE: DR. PRATIBHA AGARWAL MD

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	T4101	TX
2	2084P0800X	Psychiatry Physician	2014029670	MO
3	2084P0804X	Child & Adolescent Psychiatry Physician	T4101	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104530117	OTHER	MO	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669761706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRATIBHA AGARWAL MD

Provider Business Mailing Address
First Line	:	1300 E BRADFORD PKWY
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-4264
Country	:	US
Telephone Number	:	417-761-5000
Fax Number	:	417-761-5011

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	04/21/2026

Similar Medicare Providers

1114590478 — SANDY HONG PMHNP-BC
Practice Location Address:

2601 LITTLE ELM PKWY STE 2503
LITTLE ELM, TX
75068-6706

Practice Phone: 516-710-2906
Practice Fax:

1417169376 — TAEK SOO SHIN M.D.
Practice Location Address:

2601 LITTLE ELM PKWY STE 2501
LITTLE ELM, TX
75068-6706

Practice Phone: 972-972-4234
Practice Fax:

1396521027 — AG PSYCHIATRY
Practice Location Address:

2601 LITTLE ELM PKWY STE 2503
LITTLE ELM, TX
75068-6706

Practice Phone: 516-710-2906
Practice Fax:

1184583650 — I TRANSPORTATION LLC
Practice Location Address:

5666 LITTLE FLOWER AVE
CINCINNATI, OH
45239-6706

Practice Phone: 513-372-0182
Practice Fax:

1487585162 — KELSEY DAVIS PT, DPT
Practice Location Address:

1712 ROSSON RD
LITTLE ELM, TX
75068-8531

Practice Phone: 318-421-4344
Practice Fax: 318-421-4344

1760220156 — DIVINE WELLNESS HOME HEALTH LLC.
Practice Location Address:

1501 LAKE GROVE DR
LITTLE ELM, TX
75068-8655

Practice Phone: 469-628-3606
Practice Fax:

Directions to “ DR. PRATIBHA AGARWAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.