AGAVE THERAPEUTICS PLLC; NPI #1215586664

Contact Information

AGAVE THERAPEUTICS PLLC

11022 S 51ST ST STE 101
PHOENIX, AZ 85044-1789

Phone: 708-308-0852
Fax: 480-383-6371
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for AGAVE THERAPEUTICS PLLC

NPI #	`1215586664`
LBN Legal business name	AGAVE THERAPEUTICS PLLC
Authorized official	JANET OLSON - (NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/09/2019
Last updated	09/09/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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