Individual
ABA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
455 SCHOOL ST, SUITE 44, TOMBALL, TX 77375-4595
(281) 357-0661
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132264
TX
Other
Enumeration date
04/10/2017
Last updated
12/14/2020
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