Individual
FARAN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-5733
Mailing address
2119 BRON HOLLY DR, HOUSTON, TX 77018-7112
(832) 398-4956
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP141122
TX
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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