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Contact Information

JADE E FAGAN, PT
3362 FOREST LN
DALLAS, TX75234-7796
 Phone: 972-488-1300
 Fax: 972-488-1301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JADE E FAGAN · (Female)

NPI # 1881989606
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/09/2011
Last updated 06/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1158980
Hospital affiliation(s) Not Available
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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