Organization
AGILE PRIVATE ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAWANNA SARGENT PH.D. (CEO/OWNER)
(469) 834-7478
Entity
Organization
Contact information
Practice address
1725 BLUE STREAM DR, DESOTO, TX 75115-3962
(469) 834-7478
Mailing address
1725 BLUE STREAM DR, DESOTO, TX 75115-3962
(469) 834-7478
(469) 942-7662
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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