Provider Demographics
NPI:1417708348
Name:AGNO HEALTH INC
Entity Type:Organization
Organization Name:AGNO HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIMMELVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-843-3606
Mailing Address - Street 1:800 W 38TH ST APT 10305
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1385
Mailing Address - Country:US
Mailing Address - Phone:512-843-3606
Mailing Address - Fax:
Practice Address - Street 1:800 W 38TH ST APT 10305
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1385
Practice Address - Country:US
Practice Address - Phone:512-843-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty