# AGNA ELIZABETH BAILEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598762825
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L5037 | TX | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 03/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1731663001 | — | TX |
| 05 | — | 173166303 | — | TX |
| 01 | — | 7276626 | AETNA | — |
| 01 | — | 8EU779 | BCBS | TX |