Individual
SANJAY AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5722 ESPLANADE DR, SUITE 100, CORPUS CHRISTI, TX 78414-4227
(361) 980-1115
(361) 980-3999
Mailing address
5722 ESPLANADE DR, SUITE 100, CORPUS CHRISTI, TX 78414-4227
(361) 980-1115
(361) 980-3999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
K3960
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
K3960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164449401
—
TX
Enumeration date
11/17/2005
Last updated
11/03/2022
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