Individual
TERENCE LOU D. AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 MARKS STREET, HENDERSON, NV 89014
(702) 671-1000
(702) 458-0610
Mailing address
525 MARKS STREET, HENDERSON, NV 89014
(702) 671-1000
(702) 458-0610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14777
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831345123
—
NV
Enumeration date
08/18/2008
Last updated
07/02/2021
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