DUSTIN AGAN (NPI# 1982895850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982895850 |
Entity Type | Individual |
Full Name | DUSTIN AGAN |
Credential | MD |
Practice Address |
1125 Cypress Station Dr Ste 4 Houston TX 77090 |
Mailing Address |
1140 Cypress Station Dr Ste 101 Houston TX 77090-3015 |
Practice Telephone | 7138977221 |
Practice Fax Number | 7138977235 |
Mailing Telephone | 8324841800 |
Mailing Fax Number | 8324841801 |
Enumeration Date | 2007-08-06 |
Last Update Date | 2018-08-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 01062042A | IN | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
L6250 | TX | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
L6250 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 8CQ774 | 01 |
BCBS TX | 8CW772 | 01 | |
TX | MEDICARE RAILROAD | P00922566 | 01 |
TX | 177620502 | 05 | |
TX | 177620503 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
9305 Pinecroft Dr Ste 300, The Woodlands, TX 773803482 | 7138977221 | 7138977235 |
Street Address |
1125 CYPRESS STATION DR STE 4 |
City | HOUSTON |
State | TX |
Zip Code | 77090 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
Find all providers in zip 77090 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356865737 | Apex Cardiology of Houston, Pllc | Internal Medicine | 11914 Astoria Blvd Ste 410, Houston, TX 77089-6049 | 2017-07-27 |
1952417305 | Medical Center Heart Consultants Pllc | Internal Medicine | 6400 Fannin #2220, Medical Center Heart Consultants Pllc, Houston, TX 77030-5306 | 2006-08-21 |
1982694253 | Vasudev B Shenoy | Internal Medicine | 509 W Tidwell Rd Ste 130, Houston, TX 77091-4356 | 2005-10-26 |
1477103943 | Younis Cardiology Associates Pllc | Internal Medicine | 6560 Fannin St Ste 1750, Houston, TX 77030-2725 | 2019-09-17 |
1659833390 | Ctx Care of Tx V, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
1639631377 | Ctx Care of Tx Vi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
1962964619 | Ctx Care of Tx, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
1780146407 | Ctx Care of Tx II, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
1760944490 | Ctx Care of Tx IIi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
1811459548 | Ctx Care of Tx Iv, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
Find all providers in HOUSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.