Organization
AGAVE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LEAH QUEBEDEAUX-FARNHAM (OWNER)
(210) 771-3999
Entity
Organization
Contact information
Practice address
1345 E COLLEGE ST, SEGUIN, TX 78155-3962
(830) 303-0005
(830) 379-3348
Mailing address
1055 E HUMPHREYS ST, SEGUIN, TX 78155-4652
(830) 303-0005
(830) 379-3348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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