Organization
MICHAEL O. LAGRONE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL O LAGRONE MD (PRESIDENT)
(806) 354-2529
Entity
Organization
Contact information
Practice address
1600 S COULTER ST STE B, AMARILLO, TX 79106-0703
(806) 354-2529
Mailing address
1600 S COULTER ST STE B, AMARILLO, TX 79106-0703
(806) 354-2529
(806) 354-2956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F6852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026KH
BLUE CROSS BLUE SHIELD
TX
05
—
159323801
—
TX
Enumeration date
03/08/2007
Last updated
02/21/2019
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