Scott Richard Fagan MD

NPI 1447495585 - General Practice - 208D00000X

NPI Details
NPI 1447495585
Gender Male
Enumeration Date 12/03/2008
Last Updated 09/11/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
4727 DRUID HILLS DR
FRISCO TX, 75034-8416, US
Phone (504) 220-2922
Fax (800) 514-1722
Business Location
4727 DRUID HILLS DR
FRISCO TX, 75034-8416, US
Phone
Fax (800) 514-1722
Toxanomy
Taxonomy Code 208D00000X
License State Mississippi
License Number 21413
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According to our database, Scott Richard Fagan MD NPI is 1447495585, taxonomy code is 208D00000X and license number is 21413, license state is located at Mississippi. Scott Richard Fagan MD physically located at 4727 Druid Hills Dr, Frisco TX, 75034-8416. NPI Number Scott Richard Fagan MD has the Individual type.

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1447495585 NPI number is provided on an as is basis without warranty of any kind. 1447495585 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Richard Fagan MD are for informational purposes only.