# AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265165484
- **Authorized official:** DR. MARY C HARREL MD (DIRECTOR)
- **Authorized official phone:** (602) 999-4659

## Contact information

- **Practice address:** 1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704-1151
- **Practice address phone:** (520) 372-2167
- **Mailing address:** 1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704-1151
- **Mailing address phone:** (520) 372-2167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 09/30/2022