Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GARRY L HAGSTROM M.D.
NPI 1326009465
Specialist in Houston, TX

Q: What is Garry Hagstrom's NPI number?

The NPI number for Garry Hagstrom is 1326009465. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Garry Hagstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Garry Hagstrom was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2006PECOS Enrolled

1200 BINZ ST, 1180, HOUSTON, TX 77004(713) 520-6790 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Garry L Hagstrom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARRY L HAGSTROM M.D. (NPI 1326009465) is an individual specialist in Houston, Texas and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326009465

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGARRY L HAGSTROMCredential: M.D.

Location Address1200 BINZ ST, 1180Houston, TX 77004-6900

Mailing Address4224 Tennyson StHouston, TX 77005-2752 · (713) 667-6124

Phone(713) 520-6790

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1326009465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1200 BINZ ST, Houston, TX 77004

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Other Identifiers 2

Medicaid10014996TX

Other81C091TX · Blue Cross Blue Sheild

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garry L Hagstrom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.