| Brennan Gagen, | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2366 | |
| Not Available |
| Full Name | Brennan Gagen |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861141459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | U9920 (Texas) | Primary |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Brennan Gagen, 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2366 | Brennan Gagen, 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2366 |
Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384 | |
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. William Todd Bohannon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Luke J Hofmann, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |