Individual
DR. JARRED ANDREW HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 946-7222
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 758-3763
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102203157
VA
2084P0800X
Psychiatry Physician
05-42914
KS
2084P0804X
Child & Adolescent Psychiatry Physician
0102203157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102203157
—
VA
Enumeration date
03/27/2012
Last updated
02/02/2024
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