Organization
AAGES HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDREW SANDOVAL BS PA-C (ADMINISTRATOR)
(512) 321-1885
Entity
Organization
Contact information
Practice address
185 KONA DR, BASTROP, TX 78602-4637
(512) 321-1885
(512) 308-9770
Mailing address
185 KONA DR, BASTROP, TX 78602-4637
(512) 321-1885
(512) 308-9770
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009889
AGENCY LICENSE NUMBER
TX
01
—
30167310
TEXAS CONTROLLED SUBSTANCES REG
TX
01
—
TX7003187
STATE I.D. NUMBER
TX
Enumeration date
10/10/2006
Last updated
03/07/2023
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