PETER G FAGAN MD PA NPI 1003970203

NPI Information

  • NPI: 1003970203
  • Provider Name: PETER G FAGAN MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 10201 HIGHWAY 16
    COMANCHE, TX
    ZIP 76442
  • Phone: (254) 879-4900

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NPI Details

PETER G FAGAN MD PA is a family medicine in Comanche, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER G FAGAN MD PA NPI is 1003970203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10201 HIGHWAY 16
COMANCHE, TX
ZIP 76442-462
Phone: (254) 879-4900
Fax: (254) 879-4989

The provider's authorized official is Peter G Fagan .
The authorized official title is Sole Proprietor and has the following contact phone number (254) 879-4910.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 2/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC15552TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C15552MEDICARE UPINTEXAS
28F23579OTHERMC INDIVIDUAL
30A5652MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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