Fagan, Marian Frances

Fagan, Marian Frances is an individual health care provider with primary practice located at 1726 S Beckham Pathology Associates Of Tyler, Tyler TX 75701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Fagan, Marian Frances can be contacted via phone (903) 593-0481.

Contact Information

Primary practice address
1726 S Beckham Pathology Associates Of Tyler Tyler TX 75701
Phone: (903) 593-0481
Fax: (903) 592-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X G3341 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G3341 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD202158 Louisiana

Profile Details

NPI number 1205825775
LBN Legal business name Fagan, Marian Frances
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 11th, 2008 - about 16 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 1205825775 NPPES
Texas MEDICAID 106106102

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