Individual
MAGDA FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6613
(682) 885-6000
(682) 885-6026
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050NC
BCBSTX GRP PIN
TX
05
—
080626701
—
TX
01
—
100297967
AMERIGROUP PIN
TX
01
—
112554100
FIRSTCARE PIN
TX
05
—
126586006
—
TX
05
—
126586007
—
TX
05
—
12686008
—
TX
05
—
163314101
—
TX
01
—
1640359
CCN PIN
TX
05
—
170994101
—
TX
01
—
1912978891
GRP NPI NUMBER
—
01
—
2793448
CIGNA PIN
TX
01
—
4043747
AETNA PIN
TX
01
—
413453
PHCS PIN
TX
01
—
88B2075
BCBSTX IND PIN
TX
Enumeration date
08/30/2006
Last updated
02/01/2017
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