Individual
DR. AGNES C. KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
125 BLUE HERON DR, SUITE B, MONTGOMERY, TX 77316-3183
(936) 582-0404
(936) 582-0410
Mailing address
125 BLUE HERON DR, SUITE B, MONTGOMERY, TX 77316-3183
(936) 582-0404
(936) 582-0410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382250
ANTHEM
OH
01
—
05397
PARAMOUNT
OH
05
—
0921417
—
OH
01
—
735038
BUCKEYE
OH
01
—
P00293886
RAILROAD MEDICARE
OH
Enumeration date
05/17/2006
Last updated
03/24/2017
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