Provider Demographics
NPI:1952501629
Name:AGATENO TECHNOLOGIES, LLC
Entity Type:Organization
Organization Name:AGATENO TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-447-4702
Mailing Address - Street 1:2500 MCGEE DR
Mailing Address - Street 2:SUITE 145
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6722
Mailing Address - Country:US
Mailing Address - Phone:888-492-9733
Mailing Address - Fax:405-447-6301
Practice Address - Street 1:1305 AIRPORT FWY
Practice Address - Street 2:SUITE 410
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6605
Practice Address - Country:US
Practice Address - Phone:888-492-9733
Practice Address - Fax:405-447-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies