RANDY SCOTT FAGIN MD NPI 1891799367

NPI Information

Randy Scott Fagin, MD is a specialist in Austin, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Randy Scott Fagin, MD NPI is 1891799367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11410 JOLLYVILLE RD
STE 1101
AUSTIN, TX
ZIP 78759-093
Phone: (512) 231-1444
Fax: (512) 231-1470

The enumeration date for this NPI number is 6/13/2005 and was last updated on 7/8/2007.

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:

Other Identifiers

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

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