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Individual

DR. HOWARD ALAN LAGRONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
601 S MAIN ST, SUITE 209, GRAPEVINE, TX 76051-5382
(817) 410-4722
(817) 410-4723
Mailing address
601 S MAIN ST, SUITE 209, GRAPEVINE, TX 76051-5382
(817) 410-4722
(817) 410-4723

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G3538
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122359606
TX
01
8X5115
BCBS
TX
Enumeration date
05/24/2007
Last updated
02/16/2010
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