Provider Demographics
NPI:1255402087
Name:LAGRONE, DON M (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:M
Last Name:LAGRONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2246 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1510
Mailing Address - Country:US
Mailing Address - Phone:713-630-0930
Mailing Address - Fax:713-630-0934
Practice Address - Street 1:2246 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1510
Practice Address - Country:US
Practice Address - Phone:713-630-0930
Practice Address - Fax:713-630-0934
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD71352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760030120OtherTAX ID
TX00CF41OtherBLUE CROSS BLUE SHIELD
TX114320803Medicaid
TX114320803Medicaid