Individual
DR. BENJAMIN T AGANA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 PINECROFT DR, STE.# 360, SHENANDOAH, TX 77380-3279
(281) 419-3366
(281) 419-2233
Mailing address
PO BOX 690687, HOUSTON, TX 77269
(781) 586-4100
(781) 580-7083
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096845503
—
TX
01
—
250012118
MEDICARE RAILROAD
TX
01
—
8A2610
BCBS
TX
Enumeration date
06/14/2006
Last updated
04/04/2016
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