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Contact Information

TY G HARGRODER, MD
3501 HIGHWAY 190 STE X
EUNICE, LA70535-5129
 Phone: 337-580-7544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TY G HARGRODER · (Male)

NPI Number 1093761645
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 05/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 020601
  • LA Medicaid 1398501
  • LA Other 678856 AETNA
  • LA Other 72-1190076 IRS
  • LA Other 080166458 RR MEDICARE
Hospital affiliation(s)
  • ACADIA ST LANDRY - (Critical Access)
    810 SOUTH BROADWAY STREET
    CHURCH POINT, LA 70525
  • OPELOUSAS GENERAL HEALTH SYSTEM - (Acute Care)
    539 EAST PRUDHOMME STREET
    OPELOUSAS, LA 70570
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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