| Ashley Janae Fagan, DO | |
|
1280 S Main St Ste 100, Grapevine, TX 76051-7509 | |
| (817) 310-0898 | |
| (817) 310-5524 |
| Full Name | Ashley Janae Fagan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1280 S Main St Ste 100, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033423496 | NPI | - | NPPES |
| 323095501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N7802 (Texas) | Primary |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Janae Fagan, DO 1280 S Main St Ste 100, Grapevine, TX 76051-7509 Ph: (817) 310-0898 | Ashley Janae Fagan, DO 1280 S Main St Ste 100, Grapevine, TX 76051-7509 Ph: (817) 310-0898 |
Raul A Santos Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Suite 680, Grapevine, TX 76051 Phone: 817-912-8400 Fax: 817-912-8410 | |
Tania Purkayastha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 130, Grapevine, TX 76051 Phone: 214-689-7806 Fax: 214-689-5970 | |
Dr. Vikas Aurora, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1643 Lancaster Dr, 202, Grapevine, TX 76051 Phone: 817-251-9080 Fax: 817-251-9082 | |
Dr. Khaliq Abdul Rauf, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1650 W College St, Suite 150, Grapevine, TX 76051 Phone: 817-388-3440 Fax: 817-388-3440 | |
Dr. Amyn Malik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Heritage Ave Ste 102, Grapevine, TX 76051 Phone: 469-251-0589 Fax: 817-381-3321 | |
John Andrew Osborne, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3801 William D Tate Ave Ste 850, Grapevine, TX 76051 Phone: 817-310-3070 |