Active NPI
Austin Michael Hagan
- Student in an Organized Health Care Education/Training Program
- San Marcos, TX
National Provider Identifier
1881176162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 601 University Dr
San Marcos, TX 78666-4684 - Phone
- (214) 415-7769
- NPI assigned
- Sep 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
601 University Dr
San Marcos, TX 78666-4684
Mailing address
1003 Sagewood TRL
San Marcos, TX 78666-2268
Phone (940) 703-9481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | TX | ATHLETIC TRAINING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535932800000",
"number": "1881176162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 SAGEWOOD TRL",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786662268",
"telephone_number": "940-703-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 UNIVERSITY DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786664684",
"telephone_number": "214-415-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "AUSTIN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-03",
"last_updated": "2018-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING",
"identifier": "390200000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.