Active NPI
Cornelia L Agent MD PA
- Internal Medicine Physician
- Alvin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F9123
- Legal business name
- CORNELIA L AGENT MD PA
- Practice address
- 215 W Blackstone LN
Alvin, TX 77511-3407 - Phone
- (281) 331-5253
- Fax
- (281) 585-4074
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cornelia L Agent, MD
- Title
- Owner
- Phone
- (281) 331-5253
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F9123 | TX | Primary |
Addresses
Primary practice location
215 W Blackstone LN
Alvin, TX 77511-3407
Mailing address
215 W Blackstone LN
Alvin, TX 77511-3407
Phone (281) 331-5253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
215 W Blackstone Ln
Alvin, TX 77511
Phone (281) 331-5253
3820 Mustang Rd
Laurel CT
Alvin, TX 77511
Phone (281) 824-0070
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Alvin, TX
- NPI 1457452526
-
- Family Nurse Practitioner
- League City, TX
- NPI 1255899399
-
- Physician Assistant
- Alvin, TX
- NPI 1841533916
-
- Family Medicine Physician
- Webster, TX
- NPI 1467558015
-
- Physician Assistant
- Alvin, TX
- NPI 1720451123
-
- Internal Medicine Physician
- Tomball, TX
- NPI 1932162252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1831473354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BLACKSTONE LN",
"city": "ALVIN",
"state": "TX",
"postal_code": "775113407",
"telephone_number": "281-331-5253",
"fax_number": "281-585-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BLACKSTONE LN",
"city": "ALVIN",
"state": "TX",
"postal_code": "775113407",
"telephone_number": "281-331-5253",
"fax_number": "281-585-4074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNELIA L AGENT MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "AGENT",
"authorized_official_first_name": "CORNELIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-331-5253",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "F9123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alvin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.