Organization
HARGRODER MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY GLENN HARGRODER M.D. (PRESIDENT)
(337) 684-5232
Entity
Organization
Contact information
Practice address
3501 HIGHWAY 190 STE X, EUNICE, LA 70535-5129
(337) 580-7544
(337) 580-7621
Mailing address
PO BOX 407, CHURCH POINT, LA 70525-0407
(337) 684-5232
(337) 684-3434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038458
—
LA
Enumeration date
02/15/2007
Last updated
05/16/2023
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