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Contact Information

AGAVE PODIATRY, PLLC
1345 E COLLEGE ST
SEGUIN, TX78155-3962
 Phone: 830-303-0005
 Fax: 830-379-3348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AGAVE PODIATRY, PLLC

NPI Number 1699232330
LBN Legal business name AGAVE PODIATRY, PLLC
Authorized official TERESA LEAH QUEBEDEAUX-FARNHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2019
Last updated 03/01/2019 - 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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