National Provider Identifier Database

WAYNE A FAGAN, MD – NPI #1942206180
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

WAYNE A FAGAN, MD
4141 S. STAPLES SUITE 300
CORPUS CHRISTI, TX78411-2929
Phone: 361-882-5560
Fax: 361-882-6011
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatopathology 207ND0900X

* Indicates primary specialty

NPI Profile & details for WAYNE A FAGAN

NPI Number 1942206180
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 05/16/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 45D0913782
  • TX License #: J4105
  • TX Medicaid: 080856001
  • TX Other: 86470Y BLUE CROSS
  • TX Other: 0040EE BLUE CROSS BLUE SHIELD
  • TX Other: 1356536494 GROUP NPI #
  • TX Other: 070017610 MEDICARE RAILROAD
  • TX Other: CK7292 MEDICARE RAILROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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