Dr. Benjamin T Agana JR.
Physical Medicine & Rehabilitation Doctor
9200 Pinecroft Dr Ste.# 360
Shenandoah
, Texas 77380-3279
Dr. Benjamin T Agana JR.
Physical Medicine & Rehabilitation Doctor
9200 Pinecroft Dr Ste.# 360
Shenandoah
, Texas 77380-3279
(781) 580-7083
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Benjamin T Agana JR.
- Po Box 690687
- Houston, TX
- Zip : 77269
- Fax : (781) 580-7083
- Phone : (781) 586-4100
Second Address
- Dr. Benjamin T Agana JR.
- 9200 Pinecroft Dr Ste.# 360
- Shenandoah, TX
- Zip : 77380-3279
- Fax : (281) 419-2233
- Phone : (281) 419-3366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | J4680 | TX |
National Provider Identifier
| NPI | 1063455111 |
|---|---|
| Provider Name | Dr. Benjamin T Agana JR. |
| First Address | Houston, TX 77269 |
| Second Address | Shenandoah, TX 77380-3279 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 04/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 096845503 | (05) | TX |
| 250012118 | MEDICARE RAILROAD (01) | TX |
| 752730853 | (02) | |
| 8A2610 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.