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Individual
WILLIAM E FARGASON
Active
Individual
WILLIAM E FARGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L3297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149256310
—
TX
01
—
149256311
CSHCN
TX
01
—
8BX919
BCBS TX
TX
05
—
90384555
—
NM
01
—
P00714042
RAILROAD MEDICARE
TX
Enumeration date
10/26/2006
Last updated
04/08/2010
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