| Agno Health Inc | |
|
800 W 38th St Apt 10305 Austin TX 78705-1385 | |
| (512) 843-3606 | |
| Not Available |
| Full Name | Agno Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 W 38th St Apt 10305, Austin, Texas |
| Authorized Official Name and Position | Jane Himmelvo (OWNER) |
| Authorized Official Contact | 5128433606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agno Health Inc 800 W 38th St Apt 10305 Austin TX 78705-1385 Ph: (512) 843-3606 | Agno Health Inc 800 W 38th St Apt 10305 Austin TX 78705-1385 Ph: (512) 843-3606 |
| NPI Number | 1417708348 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 2062854128 |
|---|---|
| Medicare Enrollment ID | O20240521004341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417708348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jane Himmelvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235170440 PECOS PAC ID: 9830198977 Enrollment ID: I20240521004358 |
| Provider Name | Ryan Rasmus Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205240850 PECOS PAC ID: 7810111408 Enrollment ID: I20240528003463 |
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