Fagadau, Warren Robert

Fagadau, Warren Robert is an individual health care provider with primary practice located at 6131 Luther Lane Ste 216, Dallas TX 75225-6298. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fagadau, Warren Robert can be contacted via phone (214) 987-2020.

Contact Information

Primary practice address
6131 Luther Lane Ste 216 Dallas TX 75225-6298
Fax: (214) 739-3725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F1536 Texas

Profile Details

NPI number 1497752737
LBN Legal business name Fagadau, Warren Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497752737 NPPES
Texas Other 2222603 BLUE LINK
Texas Other DU77 BLUE LINK

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