Mark Andrew Agostini, MD
Psychiatry & Neurology, Neurology in Dallas, TX. Individual provider (NPI-1).
NPI number1164476792
StatusActive
Last updated in NPPESOct 28, 2011
Details
- NPI
- 1164476792
- Entity type
- Individual (NPI-1)
- Name
- Mark Andrew Agostini
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2006
- Last updated
- Oct 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | K4843 | TX | Yes |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7208
Phone 214-645-0624 · Fax 214-645-0078
Mailing address
5323 Harry Hines BlvdDallas, TX 75390-8869
Phone 214-645-8800 · Fax 214-648-6320
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