Peter G Fagan Md Pa

NPI 1003970203 - Family Medicine - 207Q00000X

NPI Details
NPI 1003970203
Enumeration Date 12/21/2006
Last Updated 02/11/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER G PETER
Position SOLE PROPRIETOR
Phone (254) 879-4900
Fax (254) 879-4989
Practice Location
10201 HIGHWAY 16
COMANCHE TX, 76442-4462, US
Phone (254) 879-4900
Fax (254) 879-4989
Business Location
PO BOX 488
DE LEON TX, 76444-0488, US
Phone (254) 893-4099
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number C15552
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According to our database, Peter G Fagan Md Pa NPI is 1003970203, taxonomy code is 207Q00000X and license number is C15552, license state is located at Texas. Peter G Fagan Md Pa physically located at 10201 Highway 16, Comanche TX, 76442-4462. NPI Number 1033115704 has the healthcare provider type.

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1003970203 NPI number is provided on an as is basis without warranty of any kind. 1003970203 is maintained by the National Plan & Provider Enumeration System. The contents of Peter G Fagan Md Pa are for informational purposes only.