Fagelman, Mitchell Franklin
Fagelman, Mitchell Franklin is an individual health care provider with primary practice located at 4780 N Josey Ln , Carrollton TX 75010-4615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Fagelman, Mitchell Franklin can be contacted via phone (972) 492-1334.Contact Information
Primary practice address
4780 N Josey Ln
Carrollton TX 75010-4615
Phone: (972) 492-1334
Fax: (972) 492-5174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | M4058 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M4058 | Texas |
Profile Details
| NPI number | 1801985643 |
|---|---|
| LBN Legal business name | Fagelman, Mitchell Franklin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 1st, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801985643 | NPPES |
| Texas | Other | 8CR160 | BCBS TX 02/01/2011 |
| Texas | Other | P00913362 | BCBS TX 02/01/2011 |
| Texas | Other | 6484850003 | BCBS TX 02/01/2011 |
| Texas | MEDICAID | 2012460 | BCBS TX 02/01/2011 |
| Texas | Other | TXB117511 | BCBS TX 02/01/2011 |
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