Agymol Sebastian
Individual provider Active NPI Adult Health Nurse Practitioner · Sugar Land, TX
NPI 1174074587 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1174074587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- AP127889 (TX)
- Practice address
- 4515 Parkwater Cove CT
Sugar Land, TX 77479-1585 - Phone
- (713) 589-2422
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP127889 | TX | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP127889 | TX | Yes |
Addresses
Primary practice location
4515 Parkwater Cove CT
Sugar Land, TX 77479-1585
Mailing address
4515 Parkwater Cove CT
Sugar Land, TX 77479-1585
Phone (713) 589-2422
Other providers in Sugar Land, TX
- Shanikka Scott
- Takia Scott
- SCT Research LLC
- Shannon D Scurlock Sr.
- Stacey Seay
- Deepa Seetepalli
- Felicia Seidl
- Select Physical Therapy Holdings Inc
- Select Physical Therapy Texas Limited Partnership
- Select Physical Therapy Texas Limited Partnership
All providers in Sugar Land, TX · Adult Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.