Individual
DR. BRIAN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
14028 HIGHWAY 183, AUSTIN, TX 78717
(512) 249-9886
(512) 249-9850
Mailing address
14028 NORTH US 183, AUSTIN, TX 78717
(512) 249-9886
(512) 249-9850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50019
TX
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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