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NPI Code Detail

MEDICARE: DR. ANGELA M. BUONAGURA MD

MEDICARE: DR. ANGELA M. BUONAGURA 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
1208600000XSurgery Physician023112LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1023112OTHERLALICENSE

General Provider Information

NPI Number : 1780676841
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA M. BUONAGURA MD
Provider Business Mailing Address
First Line : PO BOX 669379
Second Line :
City : DALLAS
State : TX
Zip : 75266-9379
Country : US
Telephone Number : 985-898-4000
Fax Number :
Provider Business Practice Location Address
First Line : 301 N HIGHWAY 190 STE C2
Second Line :
City : COVINGTON
State : LA
Zip : 70433-5057
Country : US
Telephone Number : 985-773-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 03/06/2026

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