Kathryn Jean Fagan, DC
Chiropractor in Justin, TX. Individual provider (NPI-1).
NPI number1316699705
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1316699705
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Jean Fagan
- Credential
- DC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 26, 2022
- Certification date
- Dec 15, 2021
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 15048 | TX | Yes |
Practice location
112 W 4th St Ste BJustin, TX 76247-5014
Phone 940-648-1700
Mailing address
112 W 4th St Ste BJustin, TX 76247-5014
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