Patrick M Fagan II, FNP
Individual provider Active NPI Family Medicine Physician · Pearsall, TX
NPI 1821735168 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1821735168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1076208 (TX)
- Practice address
- 566 Veterans Drive
Pearsall, TX 78061 - Phone
- (210) 231-4701
- NPI assigned
- May 18, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076208 | TX | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1076208 | TX | Yes |
Addresses
Primary practice location
566 Veterans Drive
Pearsall, TX 78061
Mailing address
11510 Derbyshire LN
San Antonio, TX 78251-3102
Phone (956) 222-1999
Other providers in Pearsall, TX
- Marlon J Cook
- Nora H Cruz
- Daily Health Services, Inc.
- Dva Healthcare Renal Care Inc
- Omar El-Kweifi
- Laurie Deanne Falcon
- Rogerio Lazaro Flores
- Roberta Kay Freitas
- Chesney Jo Friesenhahn
- Frio County
All providers in Pearsall, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.