Fagan, Jade Elise
Fagan, Jade Elise is an individual health care provider with primary practice located at 3362 Forest Ln , Dallas TX 75234-7796. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Fagan, Jade Elise can be contacted via phone (972) 488-1300.Contact Information
Primary practice address
3362 Forest Ln
Dallas TX 75234-7796
Phone: (972) 488-1300
Fax: (972) 488-1301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 1158980 | Texas |
Profile Details
| NPI number | 1881989606 |
|---|---|
| LBN Legal business name | Fagan, Jade Elise |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2011 |
| Last updated | Jun 9th, 2011 - about 13 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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