Randy Scott Fagin in Austin - Specialist

Randy Scott Fagin - NPI 1891799367

Randy Scott Fagin is a Specialist in Austin, Texas. Randy Scott Fagin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Randy Scott Fagin is 1891799367. The last update date is 2007-07-08.

Randy Scott Fagin's current location address is 11410 Jollyville Rd, Austin, Texas. You can contact this provider via phone number 5122311444 and fax number 5122311470. The mailing address for Randy Scott Fagin is 11410 Jollyville Rd, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Scott Fagin
Address 11410 Jollyville Rd, Austin, Texas
Phone Number 5122311444
Fax Number 5122311470
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1891799367
Provider Enumeration Date 2005-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11410 Jollyville Rd
City Austin
State Texas (TX)
Post Code 7875940930
Phone Number 5122311444
Fax Number 5122311470

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No L4930
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Randy Scott Fagin

What is the Randy Scott Fagin's unique identification number?

The Randy Scott Fagin has been assigned the NPI (National Provider Identifier) Number 1891799367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Randy Scott Fagin is physically located?

The Randy Scott Fagin is physically situated at the following address: 11410 Jollyville Rd, Austin, TX, 7875940930.

What is Randy Scott Fagin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randy Scott Fagin is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

When was the Randy Scott Fagin's 1891799367 issued?

The Randy Scott Fagin's 1891799367 was issued on 2005-06-13.

As of what date were the details pertaining to Randy Scott Fagin last refreshed?

The information related to the Randy Scott Fagin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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