| Doctor Name: | SCOTT RICHARD FAGAN |
| NPI Number: | 1447495585 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 21413 |
| Business Practice Address: | 4727 Druid Hills Dr Frisco, TX - 750348416 |
| Business Phone Number: | 5042202922 |
| Business Fax Number: | 8005141722 |
| Mailing Address: | 4727 Druid Hills Dr, FRISCO |
| State: | TX |
| Postal Code: | 750348416 |
| Phone Number: | |
| Fax Number: | 8005141722 |
| NPI Enumeration Date: | 12/03/2008 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 21413 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |