Conor Hagen, MD | |
4100 Everett Dr, Suite 400, Kyle, TX 78640-6146 | |
(512) 295-1333 | |
(512) 295-1335 |
Full Name | Conor Hagen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4100 Everett Dr, Kyle, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790006708 | NPI | - | NPPES |
322913001 | Medicaid | TX | |
322913002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | LL32790 (South Carolina) | Secondary |
208000000X | Pediatrics | P6973 (Texas) | Primary |
Entity Name | Austin Regional Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
Mailing Address | Practice Location Address |
---|---|
Conor Hagen, MD 6210 E Highway 290, Austin, TX 78723-1142 Ph: (512) 407-8686 | Conor Hagen, MD 4100 Everett Dr, Suite 400, Kyle, TX 78640-6146 Ph: (512) 295-1333 |
Dr. David Cox Needham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-6256 | |
Dr. Amit D Salkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Julia Blood, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Dr. Rebecca Nonesupplied Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Raymond Teoh, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Dr. Erin Rhae Chaffe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 Dacy Ln, Kyle, TX 78640 Phone: 512-268-8900 Fax: 512-268-2250 |