Individual
DR. POONAM GOYAL AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4104 W 15TH ST, SUITE 201, PLANO, TX 75093-5860
(972) 596-9200
(972) 596-9206
Mailing address
4104 W 15TH ST, STE 201, PLANO, TX 75093-5866
(972) 378-9800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K9006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104608806
—
TX
Enumeration date
04/06/2006
Last updated
02/13/2019
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