# HARGRODER MEDICAL, INC.

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

## Provider details

- **NPI number:** 1356484703
- **Authorized official:** DR. TY GLENN HARGRODER M.D. (PRESIDENT)
- **Authorized official phone:** (337) 684-5232

## Contact information

- **Practice address:** 3501 HIGHWAY 190 STE X, EUNICE, LA 70535-5129
- **Practice address phone:** (337) 580-7544
- **Practice address fax:** (337) 580-7621
- **Mailing address:** PO BOX 407, CHURCH POINT, LA 70525-0407
- **Mailing address phone:** (337) 684-5232
- **Mailing address fax:** (337) 684-3434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 020601 | LA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 05/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1038458 | — | LA |