Doctor Name: | CHRISTINA HAGOOD |
NPI Number: | 1003153131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 751589 |
Business Practice Address: | 4708 Alliance Blvd Suite 550 Plano, TX - 750935340 |
Business Phone Number: | 4698006050 |
Business Fax Number: | 4698006057 |
Mailing Address: | 4708 Alliance Blvd, Suite 550 PLANO |
State: | TX |
Postal Code: | 750935340 |
Phone Number: | 4698006050 |
Fax Number: | 4698006057 |
NPI Enumeration Date: | 01/09/2013 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 751589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |