Organization
KARIN FAGNER NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN FAGNER NP (OWNER)
(512) 250-9140
Entity
Organization
Contact information
Practice address
3500 LOHMANS FORD RD, #25, LAGO VISTA, TX 78645-8031
(512) 250-9140
(512) 250-2207
Mailing address
PO BOX 500174, AUSTIN, TX 78750-0174
(512) 250-9140
(512) 250-2207
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
644886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321816601
—
TX
Enumeration date
05/14/2010
Last updated
06/19/2014
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