Gary Don Fagan, MD | |
751 Hebron Pkwy Ste 100, Lewisville, TX 75057-5002 | |
(972) 459-2386 | |
(972) 459-2392 |
Full Name | Gary Don Fagan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 751 Hebron Pkwy Ste 100, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679688766 | NPI | - | NPPES |
0014HU | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H9916 (Texas) | Primary |
Entity Name | Concord North Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
Mailing Address | Practice Location Address |
---|---|
Gary Don Fagan, MD 751 Hebron Pkwy Ste 100, Lewisville, TX 75057-5002 Ph: (972) 459-2386 | Gary Don Fagan, MD 751 Hebron Pkwy Ste 100, Lewisville, TX 75057-5002 Ph: (972) 459-2386 |
Sheldon K Cho, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Macarthur Blvd Ste 701, Lewisville, TX 75067 Phone: 972-837-9345 Fax: 972-382-5035 | |
Phillip H Disraeli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Fm 544 Ste 200, Lewisville, TX 75056 Phone: 469-800-4250 Fax: 469-800-4260 | |
Hollie Gaeto, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 564-216-0831 | |
Archana Chandra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067 Phone: 972-353-8616 Fax: 972-353-5352 | |
Dr. Smart O Idemudia, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W. Southwest Pkwy, Lewisville, TX 75067 Phone: 972-420-6777 Fax: 972-420-0656 | |
Hardik A Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1945 Lakepointe Dr, Lewisville, TX 75057 Phone: 800-835-2362 | |
Daniel S Sone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2012 Justin Rd Ste 100, Lewisville, TX 75077 Phone: 972-317-1110 Fax: 972-317-1556 |