Individual provider · NPI-1

Tricia Agustin, MD

Family Medicine · Henderson, NV

NPI number1063691673

StatusActive

Last updated in NPPESOct 26, 2021

Details

NPI: 1063691673
Entity type: Individual (NPI-1)
Name: Tricia Agustin
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Oct 31, 2007
Certification date: Oct 26, 2021
Last updated: Oct 26, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	13714	NV	Yes

Practice location

100 N Green Valley Pkwy Ste 239
Henderson, NV 89074-7704

Phone 702-844-4841 · Fax 702-844-4844

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760

Phone 702-910-3950 · Fax 702-778-2264

Other practice locations

2525 12th St Se Ste 260
Salem, OR 97302-2282

Phone 971-701-9058

272 Nw Medical Loop Ste B
Roseburg, OR 97471-5545

Phone 547-591-8007

3369 Ne Stephens St Ste 100
Roseburg, OR 97470-1200

Phone 541-677-8900 · Fax 547-677-8903

5255 E Williams Cir Ste 3000
Tucson, AZ 85711-7407

Phone 520-392-8400

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