Individual
DR. WARREN ROBERT FAGADAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6131 LUTHER LANE, STE 216, DALLAS, TX 75225-6298
(214) 987-2020
(214) 739-3725
Mailing address
6131 LUTHER LANE, STE 216, DALLAS, TX 75225-6298
(214) 987-2020
(214) 739-3725
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F1536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222603
BLUE LINK
TX
01
—
DU77
BCBS
TX
Enumeration date
07/01/2005
Last updated
07/08/2007
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