Individual
DR. SCOTT FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7460 WARREN PKWY STE 100, FRISCO, TX 75034-4170
(496) 287-7825
Mailing address
7460 WARREN PKWY STE 100, FRISCO, TX 75034-4170
(800) 514-1722
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21413
MS
208D00000X
General Practice Physician
MD. 202440
LA
208D00000X
General Practice Physician
Primary
R5388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358347
—
LA
05
—
1358347
—
MS
Enumeration date
12/03/2008
Last updated
07/03/2020
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