Individual
MRS. CHARLOTTE ANNE HAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
565 W INTERSTATE 30, GARLAND, TX 75043-5702
(214) 793-5889
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-4129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1G0201
MEDICARE
TX
01
—
1G0202
MEDICARE
TX
05
—
379702903
—
TX
05
—
379702904
—
TX
05
—
379702908
—
TX
01
—
P02469187
MEDICARE RAIL ROAD
TX
01
—
P02548921
MEDICARE RAIL ROAD
TX
Enumeration date
04/19/2017
Last updated
04/22/2026
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