Provider Demographics
NPI:1760140313
Name:AGP FAMILY HEALTH CLINIC CORP
Entity type:Organization
Organization Name:AGP FAMILY HEALTH CLINIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:PEDROZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-684-3909
Mailing Address - Street 1:888 GRAHAM DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3322
Mailing Address - Country:US
Mailing Address - Phone:832-684-3909
Mailing Address - Fax:877-409-4140
Practice Address - Street 1:888 GRAHAM DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3322
Practice Address - Country:US
Practice Address - Phone:832-684-3909
Practice Address - Fax:877-409-4140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty