Individual
EDGARDO I PAGOAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
58 CLOVERDALE CT, MONTGOMERY, TX 77356-8251
(281) 382-1345
Mailing address
58 CLOVERDALE CT, MONTGOMERY, TX 77356-8251
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/25/2010
Last updated
04/25/2010
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