Organization
AGANA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN T AGANA JR. MD (PHYSICIAN/OWNER)
(281) 419-3366
Entity
Organization
Contact information
Practice address
13231 CHAMPION FOREST DR STE 101, HOUSTON, TX 77069-2646
(281) 419-3366
(281) 419-2233
Mailing address
PO BOX 690687, HOUSTON, TX 77269-0687
(281) 419-3366
(281) 580-7583
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
305S00000X
Point of Service
J4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096845503
—
TX
01
—
250012118
MEDICARE RAILROAD
TX
01
—
8A2610
BCBS
TX
Enumeration date
06/24/2006
Last updated
01/29/2025
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