Provider Demographics
NPI:1437861291
Name:AGNS CORP
Entity type:Organization
Organization Name:AGNS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, MMP
Authorized Official - Phone:469-747-3030
Mailing Address - Street 1:279 N INTERSTATE 35 E
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5299
Mailing Address - Country:US
Mailing Address - Phone:469-747-3030
Mailing Address - Fax:469-747-3038
Practice Address - Street 1:279 N INTERSTATE 35 E
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5299
Practice Address - Country:US
Practice Address - Phone:469-747-3030
Practice Address - Fax:469-747-3038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGNS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-22
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty