Thomas Robert Fagan

NPI #1588551725 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1588551725
Entity Type
Individual
Name
Thomas Robert Fagan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 20, 2025
Last Updated
Jun 20, 2025

Practice Location

Address
7516 S 2ND ST
ZIP Code
74011-3544
Phone
(310) 600-9971

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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