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Contact Information

MITCHELL F FAGELMAN, MD
4780 N JOSEY LN
CARROLLTON, TX75010-4615
 Phone: 972-492-1334
 Fax: 972-492-5174
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MITCHELL F FAGELMAN · (Male)

NPI Number 1801985643
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 02/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M4058
  • TX Medicaid 2012460
  • TX Other 8CR160 BCBS TX 02/01/2011
  • TX Other 6484850003 MEDICARE NSC - EFFECT. 02/01/11
  • TX Other TXB117511 MEDICARE PART B - EFFECT. 02/01/2011
  • TX Other P00913362 MEDICARE RAILROAD - EFFECT. 02/01/11
Hospital affiliation(s)
  • BAYLOR MEDICAL CENTER AT FRISCO - (Acute Care)
    5601 WARREN PARKWAY
    FRISCO, TX 75034
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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