Individual
MARIAN FRANCES FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1726 S BECKHAM, PATHOLOGY ASSOCIATES OF TYLER, TYLER, TX 75701
(903) 593-0481
(903) 592-0555
Mailing address
1726 S BECKHAM, PATHOLOGY ASSOCIATES OF TYLER, TYLER, TX 75701
(903) 593-0481
(903) 592-0555
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
G3341
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G3341
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD202158
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106106102
—
TX
Enumeration date
10/18/2005
Last updated
09/11/2008
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