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Individual

DR. PRATIBHA AGARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2601 LITTLE ELM PKWY STE 2503, LITTLE ELM, TX 75068-6706
(516) 710-2906
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2014029670
MO
2084P0800X
Psychiatry Physician
T4101
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
T4101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104530117
MEDICARE
MO
05
200018118
MO
Enumeration date
03/29/2011
Last updated
04/21/2026
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