Michelle Suzanne Hagen, PAC
Physician Assistant in McKinney, TX. Individual provider (NPI-1).
NPI number1982183208
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1982183208
- Entity type
- Individual (NPI-1)
- Name
- Michelle Suzanne Hagen
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA12091 | TX | Yes |
Practice location
5801 Virginia PkwyMcKinney, TX 75071-5507
Phone 972-548-0333 · Fax 972-548-0348
Mailing address
4115 Wild Azalea Ave Apt 3128Fort Worth, TX 76116-0649
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