Individual
KATHLEEN BAGUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP, LP
Contact information
Practice address
1100 ALLIED DR, PLANO, TX 75093-5348
(469) 814-3777
Mailing address
5808 SWEETBRIAR DR, RICHARDSON, TX 75082-4988
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF00000424
TX
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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