Individual
MS. KARIN S FAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3500 LOHMANS FORD RD, UNIT 25, LAGO VISTA, TX 78645-8031
(512) 917-1109
Mailing address
PO BOX 500174, AUSTIN, TX 78750-0174
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
644886
TX
363LA2200X
Adult Health Nurse Practitioner
AP108390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088304304
—
TX
Enumeration date
10/20/2006
Last updated
11/10/2015
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