Provider Demographics
NPI:1972054591
Name:AGL GROUP LLC
Entity Type:Organization
Organization Name:AGL GROUP LLC
Other - Org Name:NEUROCARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:LINGERFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-381-8844
Mailing Address - Street 1:10702 SAGETRAIL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2915
Mailing Address - Country:US
Mailing Address - Phone:866-381-8844
Mailing Address - Fax:832-626-4066
Practice Address - Street 1:10702 SAGETRAIL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2915
Practice Address - Country:US
Practice Address - Phone:866-381-8844
Practice Address - Fax:832-626-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center